Provider Demographics
NPI:1942947171
Name:MEAGHAN NOUD MD PC
Entity Type:Organization
Organization Name:MEAGHAN NOUD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-317-6111
Mailing Address - Street 1:909 HYDE ST STE 602
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4847
Mailing Address - Country:US
Mailing Address - Phone:415-317-6111
Mailing Address - Fax:415-358-4819
Practice Address - Street 1:909 HYDE ST STE 602
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4847
Practice Address - Country:US
Practice Address - Phone:415-317-6111
Practice Address - Fax:415-358-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty