Healthcare Provider Details

I. General information

NPI: 1194657395
Provider Name (Legal Business Name): MELISSA KARAYINOPULOS FRICKMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

12 MEDSTAR BLVD STE 325
BEL AIR MD
21015-1817
US

IV. Provider business mailing address

767 HICKORY LIMB CIR W
BEL AIR MD
21014-1873
US

V. Phone/Fax

Practice location:
  • Phone: 410-877-8078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: