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NPI Code Detail

MEDICARE: DR. MELVIN DOUGLAS CUNNINGHAM MD

MEDICARE: DR. MELVIN DOUGLAS CUNNINGHAM 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
12080N0001XNeonatal-Perinatal Medicine Physician35028351OH
22080N0001XNeonatal-Perinatal Medicine PhysicianC28637CA
32080N0001XNeonatal-Perinatal Medicine Physician17610KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851580716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELVIN DOUGLAS CUNNINGHAM MD
Provider Business Mailing Address
First Line : 138 LEADER AVENUE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508
Country : US
Telephone Number : 859-323-1850
Fax Number :
Provider Business Practice Location Address
First Line : 138 LEADER AVE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-3215
Country : US
Telephone Number : 859-323-1850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 08/23/2017

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