Healthcare Provider Details

I. General information

NPI: 1326278623
Provider Name (Legal Business Name): MEGAN PRESTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E TOWN ST STE 116
COLUMBUS OH
43215-4799
US

IV. Provider business mailing address

393 E TOWN ST STE 116
COLUMBUS OH
43215-4799
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-6910
  • Fax: 614-566-5669
Mailing address:
  • Phone: 614-566-6910
  • Fax: 614-566-5669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.121975
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: