MEDICARE: DR. MOHAMED SALEH MEGAHY M.D., PH.D.

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	174400000X	Specialist	036066170	IL

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	:	1548252752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED SALEH MEGAHY M.D., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 747
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62222-0747
Country	:	US
Telephone Number	:	618-288-2800
Fax Number	:	618-288-2822

Provider Business Practice Location Address
First Line	:	1201 E UNION AVE
Second Line	:
City	:	LITCHFIELD
State	:	IL
Zip	:	62056-1700
Country	:	US
Telephone Number	:	217-324-1100
Fax Number	:	217-324-1103

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	02/09/2023

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