Provider Demographics
NPI:1255359212
Name:MEER, SADOUTOUNNISSA (MD)
Entity type:Individual
Prefix:
First Name:SADOUTOUNNISSA
Middle Name:
Last Name:MEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SADOU
Other - Middle Name:
Other - Last Name:MEER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8642 TIOGA PASS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4343
Mailing Address - Country:US
Mailing Address - Phone:916-416-7722
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:916-416-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA824492084P0800X
TXS37132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH96443Medicare UPIN
CA00A824491Medicare PIN