Provider Demographics
NPI:1174628226
Name:NAIDU, MEERA J (MD)
Entity type:Individual
Prefix:DR
First Name:MEERA
Middle Name:J
Last Name:NAIDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 PLEASANT ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1412
Mailing Address - Country:US
Mailing Address - Phone:515-241-8923
Mailing Address - Fax:
Practice Address - Street 1:1212 PLEASANT ST STE 300
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1412
Practice Address - Country:US
Practice Address - Phone:515-241-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67520208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A675200Medicaid
H30786Medicare UPIN
00A675200Medicare ID - Type Unspecified