Healthcare Provider Details

I. General information

NPI: 1285195461
Provider Name (Legal Business Name): MELISSA RACHEL BRITTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 12TH AVE FL 3
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

1633 N CAPITOL AVE STE 750
INDIANAPOLIS IN
46202-1270
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3989
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01093854A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number01093854A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: