Individual
MISS MEENAL KAUR WALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5231 JOHN TYLER HWY, WILLIAMSBURG, VA 23185
(757) 220-8300
(757) 565-5338
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-020
TRICARE/CHAMPUS
VA
01
—
10064696P
OPTIMA HEALTH
VA
05
—
1407161029
—
VA
01
—
416430
ANTHEM
VA
05
—
8101078
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
08/09/2010
Last updated
11/01/2019
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