Menon, Vijayan A

Menon, Vijayan A is an individual health care provider with primary practice located at 936 Delaware Ave Suite 100, Buffalo NY 14209-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Menon, Vijayan A can be contacted via phone (716) 885-5437.

Contact Information

Primary practice address
936 Delaware Ave Suite 100 Buffalo NY 14209-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 113940 New York

Profile Details

NPI number 1538225636
LBN Legal business name Menon, Vijayan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1538225636 NPPES
New York MEDICAID 00631003
New York Other 00010117402
New York Other 5300456
New York Other 000506120006
New York Other 5061203

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