Provider Demographics
NPI:1942271648
Name:MEGALUDIS, ALEXIS M (MD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:M
Last Name:MEGALUDIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:997 N MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2819
Mailing Address - Country:US
Mailing Address - Phone:724-223-3816
Mailing Address - Fax:724-223-4079
Practice Address - Street 1:997 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2819
Practice Address - Country:US
Practice Address - Phone:724-223-3816
Practice Address - Fax:724-223-4079
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2007-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD033500E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE93237Medicare UPIN
PA464894Medicare ID - Type Unspecified