Provider Demographics
NPI:1295268035
Name:VASHIST, MEGHA (MD)
Entity type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:VASHIST
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 1:4302 ALTON RD STE 490
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2842
Mailing Address - Country:US
Mailing Address - Phone:305-674-2103
Mailing Address - Fax:305-535-1905
Practice Address - Street 1:4302 ALTON RD STE 490
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2842
Practice Address - Country:US
Practice Address - Phone:305-674-2103
Practice Address - Fax:305-535-1905
Is Sole Proprietor?:No
Enumeration Date:2017-04-08
Last Update Date:2024-10-29
Deactivation Date:2020-06-19
Deactivation Code:
Reactivation Date:2020-08-12
Provider Licenses
StateLicense IDTaxonomies
FLME152904207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine