Menon, Keshav Mohan

Menon, Keshav Mohan is an sole proprietor health care provider with primary practice located at 2000 E Layton Ave , St Francis WI 53235-6053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Menon, Keshav Mohan can be contacted via phone (414) 744-6589.

Contact Information

Primary practice address
2000 E Layton Ave St Francis WI 53235-6053
Phone: (414) 744-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 82297 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Q6770 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 82297 Wisconsin

Profile Details

NPI number 1669816658
LBN Legal business name Menon, Keshav Mohan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2013
Last updated Jan 18th, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669816658 NPPES
Wisconsin MEDICAID 100251889

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