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NPI Code Detail

MEDICARE: DR. MELINDA M TONELLI M.D.

MEDICARE: DR. MELINDA M TONELLI 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
1207R00000XInternal Medicine Physician282983MA
2207R00000XInternal Medicine PhysicianMD00040841WA

General Provider Information

NPI Number : 1578569711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELINDA M TONELLI M.D.
Provider Business Mailing Address
First Line : 550 GAGE BLVD STE 101
Second Line :
City : RICHLAND
State : WA
Zip : 99352-9532
Country : US
Telephone Number : 509-473-0637
Fax Number : 509-627-2983
Provider Business Practice Location Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-946-4611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/01/2024

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