MEDICARE: DR. AMY MEOLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	321309	LA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	G193453	CA
3	363A00000X	Physician Assistant	U2269	TX
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD060081L	PA
5	207RP1001X	Pulmonary Disease Physician	MD060081L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33370021	OTHER		BCBS KC

General Provider Information

NPI Number	:	1447209218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY MEOLI MD

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	41990 COOK ST STE 102
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6101
Country	:	US
Telephone Number	:	760-773-1411
Fax Number	:	760-773-4398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	12/11/2025

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Directions to “ DR. AMY MEOLI MD” Practice Location

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