Healthcare Provider Details

I. General information

NPI: 1265811418
Provider Name (Legal Business Name): SANDRA VIOLETTA MELE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S. CRIMSON RD
MESA AZ
85209-3316
US

IV. Provider business mailing address

2925 E RIGGS RD STE 8
CHANDLER AZ
85249-3683
US

V. Phone/Fax

Practice location:
  • Phone: 480-258-0489
  • Fax: 480-718-7313
Mailing address:
  • Phone: 480-258-0489
  • Fax: 480-718-7313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number007514
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number007514
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: