Provider Demographics
NPI:1386034999
Name:MAVELI, MEERA GEORGE (BDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:GEORGE
Last Name:MAVELI
Suffix:
Gender:F
Credentials:BDS, MS
Other - Prefix:DR
Other - First Name:MEERA
Other - Middle Name:MARIAM
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:9526 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE # 3116
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4733
Mailing Address - Country:US
Mailing Address - Phone:832-361-3222
Mailing Address - Fax:
Practice Address - Street 1:9526 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE # 3116
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4733
Practice Address - Country:US
Practice Address - Phone:832-361-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30670122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0300XDental ProvidersDentistPeriodontics