Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoba Menon MD, PC

Organization Internal Medicine Physician · NPI 1659816213

Shoba Menon MD, PC is an Internal Medicine Physician in Wading River, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1866 Wading River Manor Rd
Wading River, NY 11792-2137
Phone: (631) 929-8787
Fax: (631) 929-0350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NY)

Record details

NPI number1659816213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shoba Menon — Physician · (631) 929-8787
NPI enumeratedJanuary 5, 2017
Last updated in NPPESApril 20, 2017
Mailing addressP.O. Box 625, Wading River, NY 11792-2137

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