Basic Information
| Provider Information | |||||||||
| NPI: | 1801060082 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PALAYEKAR | ||||||||
| FirstName: | MEENA | ||||||||
| MiddleName: | JAYAWANT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1307 FEDERAL ST STE B201 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123593355 | ||||||||
| FaxNumber: | 4123596216 | ||||||||
| Practice Location | |||||||||
| Address1: | 1307 FEDERAL ST STE B201 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123593355 | ||||||||
| FaxNumber: | 4123596216 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2008 | ||||||||
| LastUpdateDate: | 08/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 104698 | MN | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | MD451130 | PA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VG0400X | MD451130 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 102918267 | 05 | PA | MEDICAID |