Healthcare Provider Details

I. General information

NPI: 1457447054
Provider Name (Legal Business Name): MEGAN K YUNGHANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN YUNGHANS MD

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-1891
US

IV. Provider business mailing address

PO BOX 749112
ATLANTA GA
30374-9112
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-5321
  • Fax:
Mailing address:
  • Phone: 434-295-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101256244
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC162018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: