MEDICARE: FEBIN MELEPURA 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	271559	NY

General Provider Information

NPI Number	:	1588898167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEBIN MELEPURA MD

Provider Business Mailing Address
First Line	:	36 W 44TH ST STE 1416
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8104
Country	:	US
Telephone Number	:	212-621-7746
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 W 44TH ST
Second Line	:	STE 914
City	:	NEW YORK
State	:	NY
Zip	:	10036-8104
Country	:	US
Telephone Number	:	212-621-7746
Fax Number	:

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

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	03/20/2024

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