Individual
NEETHU MOHAN MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 TRAVIS ST STE 400, HOUSTON, TX 77030
(713) 500-8375
Mailing address
6655 TRAVIS ST STE 400, HOUSTON, TX 77030-1343
(713) 500-8375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R73275
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R7818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392372403
—
TX
01
—
392372404
CSHCN TPI
TX
Enumeration date
06/19/2012
Last updated
05/26/2020
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