Provider Demographics
NPI:1447335567
Name:ADHAR, MEENA (MD)
Entity type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:ADHAR
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 1:11676 PERRY HIGHWAY
Mailing Address - Street 2:SUITE 2204
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:724-940-1777
Mailing Address - Fax:724-940-1778
Practice Address - Street 1:11676 PERRY HIGHWAY
Practice Address - Street 2:SUITE 2204
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:724-940-1777
Practice Address - Fax:724-940-1778
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041553E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02349Medicaid
PA1284516Medicaid
PA1284516Medicaid