Healthcare Provider Details

I. General information

NPI: 1699355560
Provider Name (Legal Business Name): ANDRIANE MELANTHIOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N MAIN ST
LACONIA NH
03246-2742
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-5151
  • Fax: 603-227-7810
Mailing address:
  • Phone: 603-524-3211
  • Fax: 603-227-7574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number40009
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: