Provider Demographics
NPI:1861854697
Name:DONIPARTHI, MEGHANA (MD)
Entity Type:Individual
Prefix:
First Name:MEGHANA
Middle Name:
Last Name:DONIPARTHI
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 1:2501 COMPASS RD STE 130
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8068
Mailing Address - Country:US
Mailing Address - Phone:847-677-1170
Mailing Address - Fax:847-677-1233
Practice Address - Street 1:2501 COMPASS RD STE 130
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8068
Practice Address - Country:US
Practice Address - Phone:847-677-1170
Practice Address - Fax:847-677-1233
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036147083207R00000X, 207RG0100X
IL125.069485207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine