Provider Demographics
NPI:1538128418
Name:CHARAN, MEENA (MD)
Entity type:Individual
Prefix:MRS
First Name:MEENA
Middle Name:
Last Name:CHARAN
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 1:890 POPLAR CHURCH RD
Mailing Address - Street 2:SUITE 200 MEDICAL ARTS BUILDING
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2250
Mailing Address - Country:US
Mailing Address - Phone:717-920-9444
Mailing Address - Fax:717-920-9449
Practice Address - Street 1:890 POPLAR CHURCH RD
Practice Address - Street 2:SUITE 200 MEDICAL ARTS BUILDING
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2250
Practice Address - Country:US
Practice Address - Phone:717-920-9444
Practice Address - Fax:717-920-9449
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422239E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH69661Medicare UPIN