Provider Demographics
NPI:1427120948
Name:PATEL, MEERA RAMAN (MD)
Entity type:Individual
Prefix:
First Name:MEERA
Middle Name:RAMAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9450 MANCHESTER RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-1452
Mailing Address - Country:US
Mailing Address - Phone:314-725-9300
Mailing Address - Fax:314-725-4662
Practice Address - Street 1:9450 MANCHESTER RD
Practice Address - Street 2:SUITE 206
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-1452
Practice Address - Country:US
Practice Address - Phone:314-725-9300
Practice Address - Fax:314-725-4662
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000157973207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
39442OtherGROUP HEALTH PLAN
129577OtherBCBS
SP20081OtherCIGNA
0701345OtherUNITED HEALTHCARE
439549OtherHEALTHLINK
P00043038OtherRAILROAD MEDICARE
7340176OtherAETNA
0701345OtherUNITED HEALTHCARE
39442OtherGROUP HEALTH PLAN