Provider Demographics
NPI:1598369787
Name:KABARIYA, MEGHA R
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:R
Last Name:KABARIYA
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 1:8127 MESA DR
Mailing Address - Street 2:BLDG B STE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-382-0054
Mailing Address - Fax:512-215-8580
Practice Address - Street 1:8127 MESA DR B
Practice Address - Street 2:BLDG B STE 205
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-382-0054
Practice Address - Fax:512-215-8580
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist