Healthcare Provider Details

I. General information

NPI: 1093331951
Provider Name (Legal Business Name): MEGHA WEISBROD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHA ANANTH

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2984 GRAND AVE
MIAMI FL
33133-6007
US

IV. Provider business mailing address

1 EMBARCADERO CTR FL 19
SAN FRANCISCO CA
94111-3628
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax:
Mailing address:
  • Phone: 888-663-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33931
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME177691
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: