Provider Demographics
NPI:1548546971
Name:HESSION, MEGHAN TARA (MD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:TARA
Last Name:HESSION
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 1:280 BALDWIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:650-344-1121
Mailing Address - Fax:
Practice Address - Street 1:280 BALDWIN AVENUE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94409
Practice Address - Country:US
Practice Address - Phone:650-344-1121
Practice Address - Fax:650-344-1069
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA136645207N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty