Provider Demographics
NPI:1447248323
Name:MESHKOV, ARNOLD B (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:B
Last Name:MESHKOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1077 RYDAL ROAD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1712
Mailing Address - Country:US
Mailing Address - Phone:215-920-0815
Mailing Address - Fax:484-489-2732
Practice Address - Street 1:1077 RYDAL ROAD
Practice Address - Street 2:SUITE 307
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1712
Practice Address - Country:US
Practice Address - Phone:215-920-0815
Practice Address - Fax:484-489-2732
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD018369E207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008571050007Medicaid
PA0008571050007Medicaid
063552FSEMedicare ID - Type Unspecified