MEDICARE: MEERA VASISHTHA

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1821715368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEERA VASISHTHA

Provider Business Mailing Address
First Line	:	1213 WALNUT ST APT 2504
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4962
Country	:	US
Telephone Number	:	516-732-2115
Fax Number	:

Provider Business Practice Location Address
First Line	:	1213 WALNUT ST APT 2504
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4962
Country	:	US
Telephone Number	:	516-732-2115
Fax Number	:

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

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

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Directions to “ MEERA VASISHTHA ” Practice Location

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