Healthcare Provider Details

I. General information

NPI: 1821790320
Provider Name (Legal Business Name): MEERA SOMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL PARK RD STE 402
COLUMBIA SC
29203-6839
US

IV. Provider business mailing address

2 MEDICAL PARK RD STE 402
COLUMBIA SC
29203-6839
US

V. Phone/Fax

Practice location:
  • Phone: 727-992-6230
  • Fax:
Mailing address:
  • Phone: 727-992-6230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberLL96842
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: