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Individual

MS. SUDHA MENON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2211 LOMAS BLVD NE, UNMH FIFTH FLOOR, ALBUQUERQUE, NM 87106-2719
(505) 272-4661
(505) 272-4628
Mailing address
2211 LOMAS BLVD NE, UNMH FIFTH FLOOR, ALBUQUERQUE, NM 87106-2719
(505) 272-3120
(505) 272-8060

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RS 2014-0769
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/31/2014
Last updated
09/10/2014
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