Provider Demographics
NPI:1992760300
Name:MURPHY, MEENA P (MD)
Entity type:Individual
Prefix:
First Name:MEENA
Middle Name:P
Last Name:MURPHY
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 1:4796 OLD TAR RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9752
Mailing Address - Country:US
Mailing Address - Phone:252-353-4111
Mailing Address - Fax:252-353-1727
Practice Address - Street 1:4796 OLD TAR RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9752
Practice Address - Country:US
Practice Address - Phone:252-353-4111
Practice Address - Fax:252-353-1727
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99-00636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891198FMedicaid
G72418Medicare UPIN
NC891198FMedicaid