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NPI Code Detail

MEDICARE: DR. MELINDA ELLEN KANTSIPER M.D.

MEDICARE: DR. MELINDA ELLEN KANTSIPER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianD56245MD

General Provider Information

NPI Number : 1275539421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELINDA ELLEN KANTSIPER M.D.
Provider Business Mailing Address
First Line : 5755 CEDAR LN
Second Line : HOWARD COUNTY GENERAL HOSPITAL -CIMS
City : COLUMBIA
State : MD
Zip : 21044-2912
Country : US
Telephone Number : 410-884-4644
Fax Number : 410-884-4643
Provider Business Practice Location Address
First Line : 5755 CEDAR LN
Second Line : HOWARD COUNTY GENERAL HOSPITAL -CIMS
City : COLUMBIA
State : MD
Zip : 21044-2912
Country : US
Telephone Number : 410-884-4644
Fax Number : 410-884-4643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/22/2010

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