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NPI Code Detail

MEDICARE: ARKADY MELIKYAN MD

MEDICARE: ARKADY MELIKYAN 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
12084N0400XNeurology Physician036136608IL

General Provider Information

NPI Number : 1518255264
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARKADY MELIKYAN MD
Provider Business Mailing Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-9011
Fax Number : 618-641-9017
Provider Business Practice Location Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-9011
Fax Number : 618-641-9017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2011
Last Update Date : 04/10/2017

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Directions to “ ARKADY MELIKYAN MD” Practice Location

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