Healthcare Provider Details

I. General information

NPI: 1205773892
Provider Name (Legal Business Name): MEGAN W RHODES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 JONES BRIDGE RD
BETHESDA MD
20814-4799
US

IV. Provider business mailing address

9823 TIFFANY HILL CT
BETHESDA MD
20814-2065
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-9004
  • Fax:
Mailing address:
  • Phone: 336-255-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number154306
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: