Provider Demographics
NPI:1609262203
Name:PATRAWALA, MEERA MEHTA (MD)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:MEHTA
Last Name:PATRAWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEERA
Other - Middle Name:KIRAN
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1357 HEMBREE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1357 HEMBREE RD STE 200
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5710
Practice Address - Country:US
Practice Address - Phone:240-298-0375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA80355207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology