MEDICARE: MELECIO G ABORDO JR. 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
1	207R00000X	Internal Medicine Physician	34645	KY
2	207RC0000X	Cardiovascular Disease Physician	34645	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1871590935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELECIO G ABORDO JR. M.D.

Provider Business Mailing Address
First Line	:	12 JACKSON HTS
Second Line	:
City	:	JACKSON
State	:	KY
Zip	:	41339-6500
Country	:	US
Telephone Number	:	606-693-0199
Fax Number	:	606-666-9480

Provider Business Practice Location Address
First Line	:	12 JACKSON HTS
Second Line	:
City	:	JACKSON
State	:	KY
Zip	:	41339-6500
Country	:	US
Telephone Number	:	606-693-0199
Fax Number	:	606-666-9480

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	01/06/2017

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