Healthcare Provider Details

I. General information

NPI: 1851170708
Provider Name (Legal Business Name): MEHER LIFESTYLE AND WELLNESS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TRANCAS ST STE 211
NAPA CA
94558-2909
US

IV. Provider business mailing address

1100 TRANCAS ST STE 211
NAPA CA
94558-2909
US

V. Phone/Fax

Practice location:
  • Phone: 707-721-3500
  • Fax:
Mailing address:
  • Phone: 707-637-4108
  • Fax: 707-637-4186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ABHIJIT ADHYE
Title or Position: CEO
Credential: MD
Phone: 707-815-6186