MEDICARE: DR. MEGHAL R ANTANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	0101234204	VA
2	2085R0204X	Vascular & Interventional Radiology Physician	D0060278	MD
3	2085R0202X	Diagnostic Radiology Physician	0101234204	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215927900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHAL R ANTANI MD

Provider Business Mailing Address
First Line	:	4255 ALTAMONT PL STE 101
Second Line	:
City	:	WHITE PLAINS
State	:	MD
Zip	:	20695-3066
Country	:	US
Telephone Number	:	866-800-2346
Fax Number	:	206-984-2163

Provider Business Practice Location Address
First Line	:	251 NATIONAL HARBOR BLVD STE 104
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1052
Country	:	US
Telephone Number	:	866-800-2346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	10/29/2024

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