Provider Demographics
NPI:1275512832
Name:MEIRI, GALIA JILL (MD)
Entity type:Individual
Prefix:
First Name:GALIA
Middle Name:JILL
Last Name:MEIRI
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 1:650 SIERRA ROSE DR STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2081
Mailing Address - Country:US
Mailing Address - Phone:775-827-8100
Mailing Address - Fax:775-827-4985
Practice Address - Street 1:650 SIERRA ROSE DR STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2081
Practice Address - Country:US
Practice Address - Phone:775-827-8100
Practice Address - Fax:775-827-4985
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11U151Medicare ID - Type Unspecified
NYG75236Medicare UPIN