Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A130380 | CA |
N | 2080P0205X | Pediatric Endocrinologist | N0970 | TX |
NPI | 1487946091 |
---|---|
Provider Name | Dr. Meenal S Mendiratta |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2011 |
Last Update Date | 13/01/2017 |