Provider Demographics
NPI:1659722783
Name:MAHESHWARI, MEGHA
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:MAHESHWARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BAILEY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363-8297
Mailing Address - Country:US
Mailing Address - Phone:717-993-2543
Mailing Address - Fax:717-993-2044
Practice Address - Street 1:200 BAILEY DR STE 101
Practice Address - Street 2:
Practice Address - City:STEWARTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17363
Practice Address - Country:US
Practice Address - Phone:717-993-2543
Practice Address - Fax:717-993-2044
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS020300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine