Healthcare Provider Details

I. General information

NPI: 1730769910
Provider Name (Legal Business Name): MEGAN HUYNH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US

IV. Provider business mailing address

10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US

V. Phone/Fax

Practice location:
  • Phone: 480-278-7742
  • Fax: 480-362-2627
Mailing address:
  • Phone: 480-278-7742
  • Fax: 480-362-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number011180
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0069260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: