Menon, Prem Kumar
Menon, Prem Kumar is an sole proprietor health care provider with primary practice located at 5217 Flanders Dr , Baton Rouge LA 70808-9169. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Menon, Prem Kumar can be contacted via phone (225) 766-6931.Contact Information
Primary practice address
5217 Flanders Dr
Baton Rouge LA 70808-9169
Phone: (225) 766-6931
Fax: (225) 766-9413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 07041R | Louisiana |
Profile Details
| NPI number | 1033114384 |
|---|---|
| LBN Legal business name | Menon, Prem Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Aug 23rd, 2010 - about 15 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 | 1033114384 | NPPES |
| Louisiana | MEDICAID | 1904953 |
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