Provider Demographics
NPI:1356400873
Name:MENGERS, SMITA PARIKH (MD)
Entity type:Individual
Prefix:DR
First Name:SMITA
Middle Name:PARIKH
Last Name:MENGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19803 EXECUTIVE PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-540-7496
Mailing Address - Fax:301-540-0772
Practice Address - Street 1:19803 EXECUTIVE PARK CIRCLE
Practice Address - Street 2:DR SMITA PARIKH MENGERS
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-540-7496
Practice Address - Fax:301-540-0772
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043017208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics