Provider Demographics
NPI:1194394296
Name:GARVEY-WHATLEY, MEGAN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:GARVEY-WHATLEY
Suffix:
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412021
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2021
Mailing Address - Country:US
Mailing Address - Phone:314-535-7855
Mailing Address - Fax:314-534-2803
Practice Address - Street 1:4488 FOREST PARK AVE
Practice Address - Street 2:STE 230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2283
Practice Address - Country:US
Practice Address - Phone:314-535-7855
Practice Address - Fax:314-534-2803
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2024033352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200098002Medicaid