Basic Information
| Provider Information | |||||||||
| NPI: | 1013160423 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MENON | ||||||||
| FirstName: | SANDHYA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 W OAKLAND PARK BLVD | ||||||||
| Address2: | SUITE E-214 | ||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333516741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543186590 | ||||||||
| FaxNumber: | 9543186604 | ||||||||
| Practice Location | |||||||||
| Address1: | 5405 OKEECHOBEE BLVD | ||||||||
| Address2: | STE. 303 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334174543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616898686 | ||||||||
| FaxNumber: | 5616898682 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2008 | ||||||||
| LastUpdateDate: | 04/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME101368 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.