Healthcare Provider Details

I. General information

NPI: 1992643605
Provider Name (Legal Business Name): MEGHA PATEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2557 MOWRY AVE STE 30
FREMONT CA
94538-1614
US

IV. Provider business mailing address

2557 MOWRY AVE STE 30
FREMONT CA
94538-1614
US

V. Phone/Fax

Practice location:
  • Phone: 510-248-1590
  • Fax: 510-795-1459
Mailing address:
  • Phone: 510-248-1590
  • Fax: 510-795-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: