Provider Demographics
NPI:1013212315
Name:MEAHEALTH PLC
Entity Type:Organization
Organization Name:MEAHEALTH PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:
Authorized Official - First Name:MISHULIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SVETLANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-637-7100
Mailing Address - Street 1:3250 W BIG BEAVER RD
Mailing Address - Street 2:SUITE 144
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-2900
Mailing Address - Country:US
Mailing Address - Phone:248-637-7100
Mailing Address - Fax:
Practice Address - Street 1:3250 W BIG BEAVER RD
Practice Address - Street 2:SUITE 144
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-2900
Practice Address - Country:US
Practice Address - Phone:248-637-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty