Healthcare Provider Details

I. General information

NPI: 1477889509
Provider Name (Legal Business Name): MEGHAN WHITEHOUSE MAHANTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2009
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WESTCHESTER AVE STE 108
PURCHASE NY
10577-2574
US

IV. Provider business mailing address

3030 WESTCHESTER AVE STE 108
PURCHASE NY
10577-2574
US

V. Phone/Fax

Practice location:
  • Phone: 914-831-4100
  • Fax:
Mailing address:
  • Phone: 914-831-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.133285
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number340279-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: