Menon, Pramod Vijayagopal
Menon, Pramod Vijayagopal is an individual health care provider with primary practice located at 39 Starbrush Cir , Covington LA 70433-7304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Menon, Pramod Vijayagopal can be contacted via phone (985) 871-4155.Contact Information
Primary practice address
39 Starbrush Cir
Covington LA 70433-7304
Phone: (985) 871-4155
Fax: (985) 871-4483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14635R | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14635R | Louisiana |
Profile Details
| NPI number | 1588620611 |
|---|---|
| LBN Legal business name | Menon, Pramod Vijayagopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 22nd, 2023 - about last year |
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 | 1588620611 | NPPES |
| Louisiana | MEDICAID | 1055841 | |
| Louisiana | Other | P00363789 |
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