Michael George Mellis in Reston - Otolaryngology

Michael George Mellis - NPI 1720052178

Michael George Mellis is a Otolaryngology in Reston, Virginia. Michael George Mellis practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Michael George Mellis is 1720052178. The last update date is 2010-01-09.

Michael George Mellis's current location address is 1860 Town Center Dr, Reston, Virginia. You can contact this provider via phone number 7034833610 and fax number 7034833610. The mailing address for Michael George Mellis is 1860 Town Center Dr, Reston, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael George Mellis
Address 1860 Town Center Dr, Reston, Virginia
Phone Number 7034833610
Fax Number 7034833610
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720052178
Provider Enumeration Date 2006-02-14
Last Updated Date 2010-01-09

Provider Mailing Address Detail

Address 1860 Town Center Dr
City Reston
State Virginia (VA)
Post Code 201905896
Phone Number 7034833610
Fax Number 7034833610

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 101042579
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00350018 VA RR MEDICARE

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FAQs about Michael George Mellis

What is the unique 10-digit identifier code issued to Michael George Mellis by the Centers for Medicare & Medicaid Services?

The Michael George Mellis has been assigned the NPI (National Provider Identifier) 1720052178 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Michael George Mellis is located?

The Michael George Mellis is situated at the following address: 1860 Town Center Dr, Reston, VA, 201905896.

What is the area of specialization for Michael George Mellis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael George Mellis is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.

When did Michael George Mellis receive its 1720052178 assignment?

The Michael George Mellis was assigned its 1720052178 on 2006-02-14, which is the date when this unique identifier was issued to the organization.

When was the information regarding Michael George Mellis most recently updated?

The details pertaining to the Michael George Mellis, including its address, specialty, and other relevant information, were last refreshed on 2010-01-09.

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