MEDICARE: DR. MELANIE M MCDOWELL 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	207V00000X	Obstetrics & Gynecology Physician	D0076082	MD
2	207V00000X	Obstetrics & Gynecology Physician	0101266849	VA

General Provider Information

NPI Number	:	1912132051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE M MCDOWELL MD

Provider Business Mailing Address
First Line	:	828 HEALTHY WAY STE 330
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7959
Country	:	US
Telephone Number	:	757-466-6350
Fax Number	:	757-466-9262

Provider Business Practice Location Address
First Line	:	828 HEALTHY WAY STE 330
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7959
Country	:	US
Telephone Number	:	757-461-3890
Fax Number	:

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

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	06/11/2019

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