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NPI Code Detail

MEDICARE: DR. LINDA R DEMELLO M.D.

MEDICARE: DR. LINDA R DEMELLO 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
12085R0202XDiagnostic Radiology PhysicianMD15109RI
22085R0202XDiagnostic Radiology Physician277160MA
32085R0202XDiagnostic Radiology Physician94041GA

General Provider Information

NPI Number : 1467898569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA R DEMELLO M.D.
Provider Business Mailing Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 03/10/2026

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Directions to “ DR. LINDA R DEMELLO M.D.” Practice Location

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