Provider Demographics
NPI:1639115561
Name:JHAVER, MEGAN RAJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:RAJIT
Last Name:JHAVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:VIJAY
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1110 S DOBSON RD
Mailing Address - Street 2:STE 7
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6164
Mailing Address - Country:US
Mailing Address - Phone:480-855-3229
Mailing Address - Fax:480-855-3209
Practice Address - Street 1:1110 S DOBSON RD
Practice Address - Street 2:STE 7
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6164
Practice Address - Country:US
Practice Address - Phone:480-855-3229
Practice Address - Fax:480-855-3209
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114813207R00000X
AZ36709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ204780Medicaid