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NPI Code Detail

MEDICARE: DR. MEGHAN L BUSINARO D.O.

MEDICARE:  DR. MEGHAN L BUSINARO  D.O.
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
1207RC0000XCardiovascular Disease Physician1606SC
2207R00000XInternal Medicine Physician125050853IL

Other Identifiers

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

General Provider Information

NPI Number : 1639326283
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN L BUSINARO D.O.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2899
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 300 PALMETTO HEALTH PKWY STE 400
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1764
Country : US
Telephone Number : 803-434-3800
Fax Number : 803-744-2729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 10/10/2025

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