Provider Demographics
NPI:1619976529
Name:MASKI, MEENAKSHI (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENAKSHI
Middle Name:
Last Name:MASKI
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 1:1250 E BUSINESS HIGHWAY 151
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-3839
Mailing Address - Country:US
Mailing Address - Phone:608-348-4677
Mailing Address - Fax:608-348-7774
Practice Address - Street 1:1250 E BUSINESS HIGHWAY 151
Practice Address - Street 2:SUITE A
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-3839
Practice Address - Country:US
Practice Address - Phone:608-348-4677
Practice Address - Fax:608-348-7774
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23470-020208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics