SHOBA MENON

Dr SHOBA MENON is a female medical professional, specializing in Internal Medicine. She graduated in 1994.

Contact

1866 WADING RIVER MANOR RD
WADING RIVER
NY
117922137

Tel:

SHOBA MENON Information

Npi 1154481539
Pac Id 6800944315
Professional Enrollment Id I20090511000063
Last Name MENON
First Name SHOBA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1866 WADING RIVER MANOR RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WADING RIVER
State NY
Zip Code 117922137
Phone Number
Hospital Affiliation Ccn 1 330185
Hospital Affiliation Lbn 1 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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