Provider Demographics
NPI:1437289063
Name:MOHAMED MEGAHY M.D. LTD.
Entity Type:Organization
Organization Name:MOHAMED MEGAHY M.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEGAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-277-5882
Mailing Address - Street 1:6 KEENELAND CT
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062-1932
Mailing Address - Country:US
Mailing Address - Phone:618-288-8900
Mailing Address - Fax:618-288-8941
Practice Address - Street 1:6836 STATE ROUTE 162
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062-8500
Practice Address - Country:US
Practice Address - Phone:618-288-8900
Practice Address - Fax:618-288-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty