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NPI Code Detail

MEDICARE: MELROY SAVIO D'SOUZA MD

MEDICARE:   MELROY SAVIO D'SOUZA  MD
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
1207R00000XInternal Medicine Physician88048GA
2390200000XStudent in an Organized Health Care Education/Training Program
3207RC0000XCardiovascular Disease Physician88048GA

General Provider Information

NPI Number : 1497258222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELROY SAVIO D'SOUZA MD
Provider Business Mailing Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-779-7777
Fax Number :
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5003
Country : US
Telephone Number : 404-778-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2018
Last Update Date : 06/09/2025

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