Alexander Melnikov in Muncie - Physician Assistant

Alexander Melnikov - NPI 1578562435

Alexander Melnikov is a Physician Assistant in Muncie, Indiana. Alexander Melnikov practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alexander Melnikov is 1578562435. The last update date is 2011-05-12.

Alexander Melnikov's current location address is 2903 W Jackson St, Muncie, Indiana. You can contact this provider via phone number 7657411411. The mailing address for Alexander Melnikov is 2903 W Jackson St, Muncie, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Alexander Melnikov
Address 2903 W Jackson St, Muncie, Indiana
Phone Number 7657411411
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1578562435
Provider Enumeration Date 2005-07-21
Last Updated Date 2011-05-12

Provider Mailing Address Detail

Address 2903 W Jackson St
City Muncie
State Indiana (IN)
Post Code 473044307
Phone Number 7657411411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No FM0844868
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
340095 IN BLUE CROSS/BLUE SHIELD
970024419 IN RAILROAD MEDICARE

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FAQs about Alexander Melnikov

What is the unique 10-digit identification code issued to Alexander Melnikov by the Centers for Medicare & Medicaid Services?

The Alexander Melnikov has been assigned the NPI (National Provider Identifier) 1578562435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Alexander Melnikov is geographically located?

The Alexander Melnikov is physically situated at the following location: 2903 W Jackson St, Muncie, IN, 473044307.

What is Alexander Melnikov's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Alexander Melnikov is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Alexander Melnikov receive its 1578562435 assignment from the Centers for Medicare & Medicaid Services?

The Alexander Melnikov was assigned its 1578562435 by the Centers for Medicare & Medicaid Services on 2005-07-21.

As of what date was the information pertaining to Alexander Melnikov, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alexander Melnikov, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-12.

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