Provider Demographics
NPI:1457642175
Name:MENTE, KARIN P (MD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:P
Last Name:MENTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:P
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10701 EAST BLVD., MAIL CODE 127
Mailing Address - Street 2:CLEVELAND VA MEDICAL CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:301-402-3496
Mailing Address - Fax:301-480-2286
Practice Address - Street 1:10701 EAST BLVD., MAIL CODE 127
Practice Address - Street 2:CLEVELAND VA MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:301-402-3496
Practice Address - Fax:301-480-2286
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1321442084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program