Provider Demographics
NPI:1912439530
Name:MALI, MEGHAN EILEEN (MD, MS)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:EILEEN
Last Name:MALI
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:EILEEN
Other - Last Name:FLANNERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 359796
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-9796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 359796
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-9796
Practice Address - Country:US
Practice Address - Phone:206-744-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-02
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10957058-1205208600000X
WAMD61550810208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery