Provider Demographics
NPI:1699736389
Name:ATKINS, MEERA KATARIA (MD)
Entity type:Individual
Prefix:
First Name:MEERA
Middle Name:KATARIA
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEERA
Other - Middle Name:C
Other - Last Name:KATARIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2172 BLACKBERRY DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1102
Mailing Address - Country:US
Mailing Address - Phone:630-402-0090
Mailing Address - Fax:
Practice Address - Street 1:2172 BLACKBERRY DR
Practice Address - Street 2:SUITE 204
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1102
Practice Address - Country:US
Practice Address - Phone:630-402-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-100989207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036100989Medicaid
ILK26240Medicare ID - Type UnspecifiedPROVIDER ID NUMBER
ILH36583Medicare UPIN