Provider Demographics
NPI:1528041720
Name:MEI, CAROL T (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:T
Last Name:MEI
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 1:10800 MAGDALENA RD
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6439
Mailing Address - Country:US
Mailing Address - Phone:617-529-9092
Mailing Address - Fax:
Practice Address - Street 1:890 SUNSET DR STE A-2A
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5651
Practice Address - Country:US
Practice Address - Phone:781-340-0735
Practice Address - Fax:781-331-6355
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78172207RH0003X
CAG70168207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA078172OtherTUFTS HEALTH CARE
MA4144823OtherCIGNA
MAJ16708OtherBLUE CROSS BLUE SHIELD
MA9249OtherHARVARD PILGRIM
MA3153801Medicaid
MA0605053OtherAETNA US HEALTH
MAJ16708OtherBLUE CROSS BLUE SHIELD
MAA21460Medicare ID - Type Unspecified