Provider Demographics
NPI:1497168108
Name:MEKA, MINNI (MD)
Entity Type:Individual
Prefix:
First Name:MINNI
Middle Name:
Last Name:MEKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MINNI
Other - Middle Name:
Other - Last Name:MEKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4344 HOOKS RD APT 527
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-3704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10101 FOREST HILL BLVD, WELLINGTON
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6103
Practice Address - Country:US
Practice Address - Phone:561-798-8504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program