Individual
DR. MICHAEL L. MEADOWS
Active
Individual
DR. MICHAEL L. MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
58371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242044
—
OH
01
—
2480976
KY WELLCARE MEDICAID
KY
01
—
5074139
AETNA
—
05
—
7100725910
—
KY
05
—
Q071319
—
TN
Enumeration date
01/26/2006
Last updated
05/08/2023
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