MEDICARE: DR. JOHN R. MELMED 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	174400000X	Specialist	D27468	MD

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	:	1932179108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R. MELMED M.D.

Provider Business Mailing Address
First Line	:	11006 VEIRS MILL RD
Second Line	:	SUITE L15-282
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2582
Country	:	US
Telephone Number	:	301-933-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 AMHERST AVE
Second Line	:	SUITE 102
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4665
Country	:	US
Telephone Number	:	301-933-7827
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	01/12/2010

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