MEGHA MUNGEE NPI 1760670913

Family Medicine in Peoria, IL

About MEGHA MUNGEE

Megha Mungee is a provider in Peoria, IL with more than 23 years of experience. The NPI number assigned to this provider is 1760670913. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Megha Mungee is registered with Medicare and accepts claims assignment.

NPI1760670913 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MEGHA MUNGEE
Provider Location Address5111 N GLEN PARK PLACE RD PEORIA, IL 61614 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5111 N GLEN PARK PLACE RD PEORIA, IL 61614 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1995
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-23-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MEGHA MUNGEE
5111 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614
Phone: (309) 683-5700
Fax: (309) 683-5752
Get Directions

Mailing Address

MEGHA MUNGEE
5111 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614
Phone: (309) 683-5700
Fax: (309) 683-5752

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License StateIL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineILNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
809840OTHER (01)
K48668MEDICARE PIN (08)

Map Location


MEGHA MUNGEE address is 5111 N GLEN PARK PLACE RD PEORIA, IL 61614

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003936766 KAREN CADET-SAINTILUS M.D.
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1023190337 HENRY GROSS
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1023478047 JENNIFER L MILLS APN
Individual
Nurse Practitioner5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1033161054 GREGORY T MOSKOP MD
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1104847458 KERRY L. HINCKS DO
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5752
1174605505 GREGORY CLEMENTZ
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1417039736 ALAIN VILATTE
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1477985547 LAURA E FLINN APN
Individual
Nurse Practitioner (Family)5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1700252822MISS SASHA L MOREDOCK APN
Individual
Nurse Practitioner5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700
1720391360DR. CHERIE HAWKINS DO
Individual
Family Medicine5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5726
1952718231 OULA ALHABIAN MD
Individual
Clinic/Center5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
(309) 683-5700