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NPI Code Detail

MEDICARE: MELISSA DAWN GARGANTA M.D.

MEDICARE: MELISSA DAWN GARGANTA M.D.
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
12080P0205XPediatric Endocrinology Physician0101268600VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245466879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DAWN GARGANTA M.D.
Provider Business Mailing Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 540-769-0976
Fax Number : 540-857-5388
Provider Business Practice Location Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 540-769-0976
Fax Number : 540-857-5388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 12/18/2025

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