Healthcare Provider Details
I. General information
NPI: 1427555291
Provider Name (Legal Business Name): MEGHNA PRIYANJALI SINGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/09/2018
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CHILDRENS PL MSC 8116-0043-08
ST. LOUIS MO
63110
US
IV. Provider business mailing address
1 CHILDRENS PL MSC 8116-0043-08
ST. LOUIS MO
63110
US
V. Phone/Fax
- Phone: 314-454-4826
- Fax: 314-454-4633
- Phone: 314-454-4826
- Fax: 314-454-4633
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 2022017090 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: