Healthcare Provider Details

I. General information

NPI: 1194247213
Provider Name (Legal Business Name): GABRIEL MELKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 HOSPITAL DR
HOLYOKE MA
01040-6601
US

IV. Provider business mailing address

11 HOSPITAL DR
HOLYOKE MA
01040-6601
US

V. Phone/Fax

Practice location:
  • Phone: 413-540-5048
  • Fax: 413-540-5049
Mailing address:
  • Phone: 413-540-5048
  • Fax: 413-540-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD27612
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: