Provider Demographics
NPI:1922365576
Name:AGRAWAL, MEGHA (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGHA
Middle Name:
Last Name:AGRAWAL
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 1:1850 LAKEPOINTE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6443
Mailing Address - Country:US
Mailing Address - Phone:972-436-5040
Mailing Address - Fax:972-221-0249
Practice Address - Street 1:1850 LAKEPOINTE DR STE 200
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6443
Practice Address - Country:US
Practice Address - Phone:972-436-5040
Practice Address - Fax:972-221-0249
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5135207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology