NPI 1851491377

Mohan M Menon, MD

Practitioner Allergy & Immunology Physician Fort Wayne, IN

Practice location

Address: 3030 Lake Ave Suite 27, Fort Wayne, IN 46805-5428
Phone: (260) 422-5569
Fax: (260) 422-6086
Mailing address: 1234 E. Dupont Rd. Suite 1, Fort Wayne, IN 46825-1545

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 01028503A (IN)

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Registry record

NPI: 1851491377
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2006
Record last updated: 13 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.