Basic Information
Provider Information
NPI: 1699162610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEGRI
FirstName: MOHAMMED
MiddleName: AMER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1448 10TH AVE STE 304
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257013579
CountryCode: US
TelephoneNumber: 3046918722
FaxNumber: 3046911693
Practice Location
Address1: 1249 15TH ST STE 3000
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257013663
CountryCode: US
TelephoneNumber: 3046911000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2015
LastUpdateDate: 11/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X51224KYN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X30593WVY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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