Basic Information
| Provider Information | |||||||||
| NPI: | 1386802692 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGRATH | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MBCHB | ||||||||
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| Mailing Information | |||||||||
| Address1: | 407 SAINT ANDREWS DR | ||||||||
| Address2: | |||||||||
| City: | BELLEAIR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337561935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274555416 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 603 7TH ST S STE 590 | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337014729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273224228 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2008 | ||||||||
| LastUpdateDate: | 08/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036.119879 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.