| Meera Tejura Shah, MD | |
|
8080 Parkway Dr, La Mesa, CA 91942-2104 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Meera Tejura Shah |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 8080 Parkway Dr, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720300239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A111054 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Meera Tejura Shah, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: () - | Meera Tejura Shah, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (833) 574-2273 |
Lisa Lew Gabhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Li-wen Jen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
John M. Goldenring, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 | |
Sara Susanne Rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 | |
Kristen Leanne Empie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Paul Michael Imus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Dr. Eric John Meyer Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701 |