Individual
RUKMINI MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
(919) 783-1441
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2009-00044
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2009-00044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155MX
BCBS NC
NC
05
—
1740443951
—
NC
Enumeration date
07/08/2008
Last updated
08/02/2022
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