Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A130211 | CA |
Y | 111NI0900X | Internist | A130211 | CA |
N | 208D00000X | General Practice Physician | A130211 | CA |
NPI | 1013338722 |
---|---|
Provider Name | Dr. Meena Kumari Meka |
First Address | Santa Ana, CA 92704-6233 |
Second Address | Santa Ana, CA 92704-6233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2013 |
Last Update Date | 03/07/2014 |