Meridian Medical Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MERIDIAN MEDICAL CLINIC, LLC

Practice address

15921 NE 8TH St
Suite C 205
Bellevue, WA 98008-3923

Phone

(425) 957-9400

Fax

(425) 957-9404

NPI assigned

Dec 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sambasivarao Karanam, MDNPI 1487673679

Title

Owner

Phone

(425) 957-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sambasivarao Venkata Karanam, MD

  • General Practice Physician
  • South Bend, WA
  • NPI 1487673679
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1942484399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6895",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980080895",
            "telephone_number": "425-957-9400",
            "fax_number": "425-957-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 NE 8TH ST",
            "address_2": "SUITE C 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083923",
            "telephone_number": "425-957-9400",
            "fax_number": "425-957-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "KARANAM",
        "authorized_official_first_name": "SAMBASIVARAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-957-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariyam Merchant, M.P.T
• Zahra Merchant
• John Randall Mercier, M.D.
• Suresh Reddy Mereddy, M.D.
• Dillette Remy Andres Meriang
• Leslie Renee Merklin-Barber, RN
• Camille Merrill
• Merriwether & Associates
• Glen P. Merriwether, MA, LMHC, CDP
• Sonja Monique Merz, LMFT

• Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.