Provider Demographics
NPI:1740623479
Name:LITMAN, MEGAN DIANE (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DIANE
Last Name:LITMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9150 MARKET SQUARE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-4573
Mailing Address - Country:US
Mailing Address - Phone:330-626-4080
Mailing Address - Fax:330-626-5821
Practice Address - Street 1:9318 STATE ROUTE 14
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5224
Practice Address - Country:US
Practice Address - Phone:330-626-4080
Practice Address - Fax:330-626-5821
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.127631208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0123115Medicaid