Menon, Mridula

Menon, Mridula is an individual health care provider with primary practice located at 6 Blackstone Valley Pl Suite 701, Lincoln RI 02865-1179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Menon, Mridula can be contacted via phone (401) 333-3111.

Contact Information

Primary practice address
6 Blackstone Valley Pl Suite 701 Lincoln RI 02865-1179
Fax: (401) 334-1217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD11557 Rhode Island

Profile Details

NPI number 1427045301
LBN Legal business name Menon, Mridula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 2nd, 2024 - about 8 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 1427045301 NPPES
Massachusetts MEDICAID 2081156

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