Healthcare Provider Details

I. General information

NPI: 1700462496
Provider Name (Legal Business Name): MEGAN PATRICIA REGNELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 S ST NW
WASHINGTON DC
20001-5196
US

IV. Provider business mailing address

641 S ST NW
WASHINGTON DC
20001-5196
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2123
  • Fax: 202-448-7606
Mailing address:
  • Phone: 202-476-2123
  • Fax: 202-448-7606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCS2100013302
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: