Provider Demographics
NPI:1366637605
Name:NGUYEN, MEETA SHAH (MD)
Entity Type:Individual
Prefix:DR
First Name:MEETA
Middle Name:SHAH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-0248
Mailing Address - Country:US
Mailing Address - Phone:978-251-3159
Mailing Address - Fax:855-283-4714
Practice Address - Street 1:10 ADAMS ST
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1780
Practice Address - Country:US
Practice Address - Phone:978-251-3159
Practice Address - Fax:978-251-0636
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2098042083P0500X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine