Healthcare Provider Details

I. General information

NPI: 1760988414
Provider Name (Legal Business Name): ARJUN P MEKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

2062 GREENWAY MILL CT
SNELLVILLE GA
30078-7900
US

V. Phone/Fax

Practice location:
  • Phone: 404-513-7359
  • Fax:
Mailing address:
  • Phone: 404-513-7359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number92163
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: