| Mohan M Menon, MD | |
|
3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | |
| (260) 422-5569 | |
| (260) 422-6086 |
| Full Name | Mohan M Menon |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 3030 Lake Ave, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851491377 | NPI | - | NPPES |
| 100054450 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 01028503A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohan M Menon, MD 1234 E. Dupont Rd., Suite 1, Fort Wayne, IN 46825-1545 Ph: (260) 373-9728 | Mohan M Menon, MD 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 Ph: (260) 422-5569 |
Naresh J Patel, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7964 W. Jefferson Blvd., Fort Wayne, IN 46804 Phone: 260-436-5670 Fax: 260-436-4706 | |
James B Nelson, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805 Phone: 260-422-5569 Fax: 260-422-6086 | |
Dr. Julia Lynn Montejo, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845 Phone: 260-425-6070 Fax: 260-425-6073 | |
Dr. William Lee Smits, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7222 Engle Road, Fort Wayne, IN 46804 Phone: 260-432-5005 Fax: 260-432-6003 | |
Dr. Russell Vaughn Maples, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 7222 Engle Road, Fort Wayne, IN 46804 Phone: 260-432-5005 Fax: 260-432-6003 | |
Sumona Kabir, D.O. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7222 Engle Rd., Fort Wayne, IN 46804 Phone: 260-432-5005 Fax: 260-432-6003 |