Provider Demographics
NPI:1295736403
Name:HARI, MEENAKSHI (MD, FAAP)
Entity type:Individual
Prefix:
First Name:MEENAKSHI
Middle Name:
Last Name:HARI
Suffix:
Gender:F
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 WINDY HILL RD SE
Mailing Address - Street 2:104
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8664
Mailing Address - Country:US
Mailing Address - Phone:678-501-5601
Mailing Address - Fax:678-384-7163
Practice Address - Street 1:2520 WINDY HILL RD SE
Practice Address - Street 2:104
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8664
Practice Address - Country:US
Practice Address - Phone:678-501-5601
Practice Address - Fax:678-384-7163
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA49026208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003134415AMedicaid
AZH78465Medicare UPIN