MEDICARE: MELINDA RENEE ZELLARS D.P.M.

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	PO1000055	DC
2	213EP1101X	Primary Podiatric Medicine Podiatrist	01367	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	492128	OTHER	DC	MEDICARE
7	P00178082	OTHER	MD	RAILROAD MEDICARE
8	135514	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	49380001	OTHER	DC	CAREFIRST
3	BK640000	OTHER	DC	CAREFIRST
4	039223700	OTHER	DC	MEDICAL ASSISTANCE
5	BK640000	OTHER	MD	CAREFIRST
6	009436600	OTHER	MD	MEDICAL ASSISTANCE
9	49380001	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1588665418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA RENEE ZELLARS D.P.M.

Provider Business Mailing Address
First Line	:	10845 PHILADELPHIA RD
Second Line	:
City	:	WHITE MARSH
State	:	MD
Zip	:	21162-1717
Country	:	US
Telephone Number	:	410-335-0008
Fax Number	:	410-335-3113

Provider Business Practice Location Address
First Line	:	20528 BOLAND FARM RD STE 202
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4038
Country	:	US
Telephone Number	:	301-232-9000
Fax Number	:	301-232-5251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	09/05/2023

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Directions to “ MELINDA RENEE ZELLARS D.P.M.” Practice Location

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