MEDICARE: ANDREW THOMAS MELCHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	346895	LA

General Provider Information

NPI Number	:	1205455631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW THOMAS MELCHER

Provider Business Mailing Address
First Line	:	3800 HOUMA BLVD STE 325
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-4184
Country	:	US
Telephone Number	:	504-885-7337
Fax Number	:	504-456-5172

Provider Business Practice Location Address
First Line	:	3800 HOUMA BLVD STE 325
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-4184
Country	:	US
Telephone Number	:	504-952-8532
Fax Number	:	504-456-5172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	12/17/2025

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