Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 02004852A | IN |
NPI | 1043518244 |
---|---|
Provider Name | Sana Shoaib Meah |
First Address | Greenwood, IN 46143-7241 |
Second Address | Munster, IN 46321-2899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2011 |
Last Update Date | 20/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
471400385 | MEDICARE PTAN (01) | IN |