MR. PRAMOD VIJAYAGOPAL MENON (NPI# 1588620611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588620611 |
| Entity Type | Individual |
| Full Name | MR. PRAMOD VIJAYAGOPAL MENON |
| Credential | M.D. |
| Practice Address |
901 Gause Blvd Fl 2 Slidell LA 70458-2948 |
| Practice Telephone | 9852735027 |
| Mailing Telephone | 9852735027 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14635R | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
14635R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1055841 | 05 | |
| LA | RAILROAD MEDICARE | P00363789 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 433 Plaza St, Bogalusa, LA 704273729 | 9857306700 | 9857306713 |
| Street Address |
901 GAUSE BLVD FL 2 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902197700 | Monique Marie Young | Nurse Practitioner | 901 Gause Blvd Fl 2, Slidell, LA 70458-2937 | 2011-04-27 |
| 1700075389 | Matthew G. Gabler | Physician Assistant | 901 Gause Blvd Fl 2, Slidell, LA 70458-2937 | 2007-10-18 |
| 1538100078 | Keith Gregory Hickey | Internal Medicine | 901 Gause Blvd Fl 2, Slidell, LA 70458 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765394 | Jose Antonio Silva | Internal Medicine | 2750 East Gause Blvd, Slidell, LA 70461-4149 | 2006-01-19 |
| 1023288792 | William Bennett | Internal Medicine | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2008-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639633274 | Posina Enterprises LLC | Internal Medicine | 5911 Settlers Dr, Alexandria, LA 71303-6007 | 2019-01-28 |
| 1235638321 | Cardiac and Peripheral Vascular Services, LLC | Internal Medicine | 8050 W Judge Perez Dr Ste 2800, Chalmette, LA 70043-1740 | 2018-02-05 |
| 1629576996 | Cardiac Cin of Louisiana LLC | Internal Medicine | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2018-01-31 |
| 1275031544 | Cardiac Cin of Baton Rouge LLC | Internal Medicine | 9655 Perkins Rd Ste C-220, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1720423478 | Lafayette Cardiovascular Center of Excellence,llc | Internal Medicine | 318 Guilbeau Rd, Lafayette, LA 70506-6914 | 2013-05-08 |
| 1073820676 | Nurtured Heart, LLC | Internal Medicine | 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-09-03 |
| 1063724326 | Nayan Agarwal | Internal Medicine | 6550 Main St Ste 1000, Zachary, LA 70791-4092 | 2010-07-02 |
| 1164665477 | Salil Sethi | Internal Medicine | 3311 Prescott Rd Ste 112, Alexandria, LA 71301-3917 | 2009-04-16 |
| 1265687503 | Syed Bilal Akhtar Rizvi | Internal Medicine | 501 Medical Center Dr Ste 250, Alexandria, LA 71301-8124 | 2008-12-01 |
| 1972714889 | Sai Konduru | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.