Healthcare Provider Details

I. General information

NPI: 1861694804
Provider Name (Legal Business Name): MEENA MURTI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5718 WESTHEIMER RD STE 1000
HOUSTON TX
77057-9903
US

IV. Provider business mailing address

5718 WESTHEIMER RD STE 1000
HOUSTON TX
77057-9903
US

V. Phone/Fax

Practice location:
  • Phone: 713-867-5309
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301093356
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberM6305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: