Provider Demographics
NPI:1235293465
Name:SEGGEV, MEIR (MD)
Entity Type:Individual
Prefix:
First Name:MEIR
Middle Name:
Last Name:SEGGEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1967 BRANDYWINE RD
Mailing Address - Street 2:APT 301
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7300
Mailing Address - Country:US
Mailing Address - Phone:561-688-0802
Mailing Address - Fax:
Practice Address - Street 1:1967 BRANDYWINE RD
Practice Address - Street 2:APT 301
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-7300
Practice Address - Country:US
Practice Address - Phone:561-688-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA351952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A 54058Medicare UPIN