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

Dr. Kavita Menon, MD

Individual provider Dermatology Physician · NPI 1275799801

Dr. Kavita Menon, MD is a Dermatology in Latham, New York. Graduated from New York University School of Medicine in 2006, 20 years ago. Practices with Magnolia Dermatology, PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

582 New Loudon Rd
Latham, NY 12110-4059
Phone: (518) 875-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Executive Park Dr, Albany, NY 12203-1220 — (518) 482-8631

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 245879-1 (NY)

Record details

NPI number1275799801
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2008
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Magnolia Dermatology, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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