Basic Information
Provider Information
NPI: 1255719183
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEEKS
FirstName: RACHEL
MiddleName: KAYE
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1130 W. MICHIGAN STREET
Address2: FESLER HALL 204
City: INDIANAPOLIS
State: IN
PostalCode: 462025209
CountryCode: US
TelephoneNumber: 3172740076
FaxNumber:  
Practice Location
Address1: IU SCHOOL OF MEDICINE, DEPT OF ANESTHESIA
Address2: 1130 W. MICHIGAN ST
City: INDIANAPOLIS
State: IN
PostalCode: 462025209
CountryCode: US
TelephoneNumber: 3172740076
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/12/2015
LastUpdateDate: 06/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X171000000XCAN Allopathic & Osteopathic PhysiciansGeneral Practice 
207L00000X11021348AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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