Healthcare Provider Details

I. General information

NPI: 1609732973
Provider Name (Legal Business Name): GHISLAIN MELI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE
WASHINGTON DC
20002-1848
US

IV. Provider business mailing address

10513 FOXLAKE DR
BOWIE MD
20721-2602
US

V. Phone/Fax

Practice location:
  • Phone: 202-800-6440
  • Fax:
Mailing address:
  • Phone: 240-585-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: