Provider Demographics
NPI:1447090105
Name:MEG OHARE MD INC
Entity type:Organization
Organization Name:MEG OHARE MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEG
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:O'HARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-596-4711
Mailing Address - Street 1:675 YGNACIO VALLEY RD STE B214
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-8209
Mailing Address - Country:US
Mailing Address - Phone:925-937-8346
Mailing Address - Fax:925-232-9621
Practice Address - Street 1:675 YGNACIO VALLEY RD STE B214
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8209
Practice Address - Country:US
Practice Address - Phone:925-937-8346
Practice Address - Fax:925-232-9621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty