Provider Demographics
NPI:1447403340
Name:BEHARRY, MEERA SURUJDAI (MD)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:SURUJDAI
Last Name:BEHARRY
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:PO BOX 4455
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34948-4455
Mailing Address - Country:US
Mailing Address - Phone:254-718-7559
Mailing Address - Fax:
Practice Address - Street 1:16 HARBOUR ISLE DR W UNIT PH01
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34949-2768
Practice Address - Country:US
Practice Address - Phone:254-718-7559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2286812080A0000X
TXP42862080A0000X
FLME1479882080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine