Provider Demographics
NPI:1780657445
Name:MEGES, DANIEL LANG (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LANG
Last Name:MEGES
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 1:4617 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-2022
Mailing Address - Country:US
Mailing Address - Phone:440-237-6661
Mailing Address - Fax:216-749-8210
Practice Address - Street 1:7575 NORTHCLIFF AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3267
Practice Address - Country:US
Practice Address - Phone:216-749-8279
Practice Address - Fax:216-749-8210
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH39336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0421725Medicaid
OHME0423268Medicare ID - Type Unspecified
OH0421725Medicaid