Provider Demographics
NPI:1518695923
Name:MEHER, MINAHIL
Entity Type:Individual
Prefix:
First Name:MINAHIL
Middle Name:
Last Name:MEHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 ARLINGTON BLVD APT 717
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2233
Mailing Address - Country:US
Mailing Address - Phone:571-274-0424
Mailing Address - Fax:
Practice Address - Street 1:1011 ARLINGTON BLVD APT 717
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2233
Practice Address - Country:US
Practice Address - Phone:571-274-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLGP12990Medicaid