Individual
SHAIVA GINOYA MEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021703
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5101021703
MI
207RP1001X
Pulmonary Disease Physician
5101021703
MI
Other
Enumeration date
06/12/2015
Last updated
05/20/2024
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