Healthcare Provider Details

I. General information

NPI: 1528104452
Provider Name (Legal Business Name): MAEGAN RENEE CHANEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568A RIVA RD STE 103
ANNAPOLIS MD
21401-7457
US

IV. Provider business mailing address

2568A RIVA RD STE 103
ANNAPOLIS MD
21401-7457
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-7667
  • Fax: 410-224-7007
Mailing address:
  • Phone: 410-224-7667
  • Fax: 410-224-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberD0064511
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: