Healthcare Provider Details

I. General information

NPI: 1780657445
Provider Name (Legal Business Name): DANIEL LANG MEGES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 08/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 NORTHCLIFF AVE SUITE 200
BROOKLYN OH
44144-3267
US

IV. Provider business mailing address

4617 OAKRIDGE DR
NORTH ROYALTON OH
44133-2022
US

V. Phone/Fax

Practice location:
  • Phone: 216-749-8279
  • Fax: 216-749-8210
Mailing address:
  • Phone: 440-237-6661
  • Fax: 216-749-8210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39336
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: