Provider Demographics
NPI:1366447187
Name:MEKA, VARMA S (MD)
Entity Type:Individual
Prefix:
First Name:VARMA
Middle Name:S
Last Name:MEKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 LOST VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-5483
Mailing Address - Country:US
Mailing Address - Phone:770-843-0573
Mailing Address - Fax:
Practice Address - Street 1:3084 MT CARMEL RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-2079
Practice Address - Country:US
Practice Address - Phone:770-843-0573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00673527HMedicaid
GA11BDQJGMedicare PIN
GA00673527HMedicaid