Provider Demographics
NPI:1619131935
Name:OHARE, MEG M (MD)
Entity Type:Individual
Prefix:DR
First Name:MEG
Middle Name:M
Last Name:OHARE
Suffix:
Gender:F
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:PO BOX 778413
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-8413
Mailing Address - Country:US
Mailing Address - Phone:155-964-7114
Mailing Address - Fax:702-947-5352
Practice Address - Street 1:450 SUTTER ST RM 2632
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4212
Practice Address - Country:US
Practice Address - Phone:415-596-4711
Practice Address - Fax:702-947-5352
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036109380207L00000X
CAA90612207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01702674 (R/R)Medicare PIN
CAFP407UMedicare PIN
CAFP407WMedicare PIN
CAFP407YMedicare PIN
CAFP407XMedicare PIN
CAFP407VMedicare PIN
CAFP407ZMedicare PIN