Provider Demographics
NPI:1881629863
Name:SCARROW, MEERA R (MD)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:R
Last Name:SCARROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1235 E CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2203
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:417-829-4316
Practice Address - Street 1:1965 S FREMONT AVE STE 270
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2257
Practice Address - Country:US
Practice Address - Phone:417-820-3890
Practice Address - Fax:417-820-3567
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003006414207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209110402Medicaid
MOH77035Medicare UPIN
MO209110402Medicaid