Provider Demographics
NPI:1669009692
Name:MENON, NAVEEN JANARDHAN
Entity Type:Individual
Prefix:
First Name:NAVEEN
Middle Name:JANARDHAN
Last Name:MENON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 SUMMER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-8513
Mailing Address - Country:US
Mailing Address - Phone:412-607-1132
Mailing Address - Fax:
Practice Address - Street 1:1013 SUMMER RIDGE CT
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-8513
Practice Address - Country:US
Practice Address - Phone:412-607-1132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program