Provider Demographics
NPI:1053836577
Name:O'DONOGHUE, MERIH DAGLI (MD)
Entity Type:Individual
Prefix:
First Name:MERIH
Middle Name:DAGLI
Last Name:O'DONOGHUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9709 CLYDELEVEN DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-1819
Mailing Address - Country:US
Mailing Address - Phone:240-447-1717
Mailing Address - Fax:
Practice Address - Street 1:13620 CRAYTON BOULEVARD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2685
Practice Address - Country:US
Practice Address - Phone:240-313-9890
Practice Address - Fax:240-313-9891
Is Sole Proprietor?:No
Enumeration Date:2017-08-05
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0083528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine