Menon, Padman A

Menon, Padman A is an individual health care provider with primary practice located at 1157 First Colonial Rd Ste 300 , Virginia Beach VA 23454-2432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Menon, Padman A can be contacted via phone (757) 333-8001.

Contact Information

Primary practice address
1157 First Colonial Rd Ste 300 Virginia Beach VA 23454-2432
Phone: (757) 333-8001
Fax: (757) 333-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200301017 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 0101022994 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101022994 Virginia

Profile Details

NPI number 1164533386
LBN Legal business name Menon, Padman A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 11th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164533386 NPPES
Virginia Other C04588 MEDICARE GROUP NUMBER
Virginia MEDICAID 89013XM MEDICARE GROUP NUMBER
Virginia MEDICAID 89135YU MEDICARE GROUP NUMBER
Virginia Other 135YU MEDICARE GROUP NUMBER
Virginia Other 013XM MEDICARE GROUP NUMBER
Virginia MEDICAID 010109868 MEDICARE GROUP NUMBER
Virginia Other 2003292 MEDICARE GROUP NUMBER

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