Menon, Prema R
Menon, Prema R is an individual health care provider with primary practice located at 111 Colchester Ave Pulmonary And Critical Care Division Fahc, Burlington VT 05405-3421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Menon, Prema R can be contacted via phone (802) 847-1558.Contact Information
Primary practice address
111 Colchester Ave Pulmonary And Critical Care Division Fahc
Burlington VT 05405-3421
Phone: (802) 847-1558
Fax: (802) 847-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0420012263 | Vermont |
Profile Details
| NPI number | 1346445624 |
|---|---|
| LBN Legal business name | Menon, Prema R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jan 5th, 2015 - about 9 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 | 1346445624 | NPPES |
| Indiana | MEDICAID | 200872260A |
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