Healthcare Provider Details

I. General information

NPI: 1962623009
Provider Name (Legal Business Name): ALEX MEPARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZURAB MEPHARISHVILI M.D.

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1648 HUNTINGDON PIKE
MEADOWBROOK PA
19046-8099
US

IV. Provider business mailing address

720 LISA CIR
HUNTINGDON VALLEY PA
19006-2223
US

V. Phone/Fax

Practice location:
  • Phone: 215-947-3000
  • Fax:
Mailing address:
  • Phone: 610-217-0017
  • Fax: 267-722-8467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-436836
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: