MEDICARE: FANWEI MENG 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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	161469	NY
2	207R00000X	Internal Medicine Physician	82484	SC

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	:	1780650937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FANWEI MENG MD

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 GATEWAY CORNERS PARK STE 101
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-8906
Country	:	US
Telephone Number	:	803-865-2122
Fax Number	:	803-779-3103

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	11/09/2020

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Directions to “ FANWEI MENG MD” Practice Location

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