Menon, Indira Gm
Menon, Indira Gm is an individual health care provider with primary practice located at 1457 Scott Blvd , Decatur GA 30030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Menon, Indira Gm can be contacted via phone (404) 292-2500.Contact Information
Primary practice address
1457 Scott Blvd
Decatur GA 30030
Phone: (404) 292-2500
Fax: (404) 294-9361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 047623 | Georgia |
Profile Details
| NPI number | 1164423075 |
|---|---|
| LBN Legal business name | Menon, Indira Gm |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164423075 | NPPES |
| Georgia | MEDICAID | 00837284A |
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