Provider Demographics
NPI:1639490816
Name:SREENIVASAN, MEERA VEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:VEDA
Last Name:SREENIVASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEERA
Other - Middle Name:VEDA
Other - Last Name:SREENIVASAN-OUK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:201 SPEAR ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-1630
Mailing Address - Country:US
Mailing Address - Phone:415-503-9277
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:201 SPEAR ST
Practice Address - Street 2:SUITE 230
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1630
Practice Address - Country:US
Practice Address - Phone:415-503-9277
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14969207R00000X
DCMD038923207R00000X
CA133964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine