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Individual

DR. MEETA SHAH MICHENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5514
(601) 984-2893
Mailing address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(601) 988-2017

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
821-L
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DR.0057578
CO
2084P0804X
Child & Adolescent Psychiatry Physician
MD458711
PA

Other

Enumeration date
08/17/2011
Last updated
09/20/2016
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