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General NPI Number Information
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NPI Number | 1245193895
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Entity Type | Organization
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Legal Business Name | S.MEGALA, MD PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5105 W BRISTOL RD
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City | FLINT
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State | MI
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Zip | 48507-2955
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Country | US
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Telephone | 810-733-0822
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Fax | 810-733-5567
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Provider Business Mailing Address
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Address Line | 5105 W BRISTOL RD
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City | FLINT
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State | MI
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Zip | 48507-2955
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Country | US
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Telephone | 810-733-0822
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Fax | 810-733-5567
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Authorized Official
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Title or Position | MEMBER PHYSICIAN
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Name | DR. SHADY MEGALA
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Credential | MD
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Telephone | 810-813-6968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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