Provider Demographics
NPI:1811347420
Name:MEGHANI, TASNEEM (DPM)
Entity type:Individual
Prefix:
First Name:TASNEEM
Middle Name:
Last Name:MEGHANI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:TASNEEM
Other - Middle Name:
Other - Last Name:MASQATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3730 N JOSEY LN STE 104
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2487
Mailing Address - Country:US
Mailing Address - Phone:972-492-4660
Mailing Address - Fax:
Practice Address - Street 1:3730 N JOSEY LN STE 104
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2487
Practice Address - Country:US
Practice Address - Phone:972-492-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2392213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty