Menon, Radha

Menon, Radha is an individual health care provider with primary practice located at 18056 Wika Rd Ste C , Apple Valley CA 92307-2194. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Menon, Radha can be contacted via phone (760) 242-3040.

Contact Information

Primary practice address
18056 Wika Rd Ste C Apple Valley CA 92307-2194
Phone: (760) 242-3040
Fax: (760) 242-5495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A41126 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A41126 California

Profile Details

NPI number 1033104724
LBN Legal business name Menon, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 23rd, 2012 - about 13 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 1033104724 NPPES
California MEDICAID 00A411260

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