Vidya Menon, MD
Pediatrics in Houston, TX. Individual provider (NPI-1).
NPI number1194353383
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1194353383
- Entity type
- Individual (NPI-1)
- Name
- Vidya Menon
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2020
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 95521 | GA | Yes |
| 208000000X | Pediatrics | V2170 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1102 Bates AveHouston, TX 77030-2617
Phone 972-268-0544
Mailing address
1102 Bates AveHouston, TX 77030-2617
Phone 972-268-0544
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