Provider Demographics
NPI:1437207537
Name:PAL, MEENAKSHI (DC, QME)
Entity type:Individual
Prefix:DR
First Name:MEENAKSHI
Middle Name:
Last Name:PAL
Suffix:
Gender:F
Credentials:DC, QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 WOOLSEY ST STE 111
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1974
Mailing Address - Country:US
Mailing Address - Phone:510-849-0327
Mailing Address - Fax:510-849-4072
Practice Address - Street 1:2320 WOOLSEY ST STE 111
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1974
Practice Address - Country:US
Practice Address - Phone:510-849-0327
Practice Address - Fax:510-849-4072
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0281470Medicare ID - Type Unspecified
CAU89926Medicare UPIN