Healthcare Provider Details

I. General information

NPI: 1871122291
Provider Name (Legal Business Name): MELIKA Z DEATON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELIKA ZAREI MD

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 N DECATUR RD STE 130
DECATUR GA
30033-6136
US

IV. Provider business mailing address

2665 N DECATUR RD STE 130
DECATUR GA
30033-6136
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-8143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number98251
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number98251
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number98251
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: