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Individual
DR. HOLLY MELAHOURES
Active
Individual
DR. HOLLY MELAHOURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3754
IA
207R00000X
Internal Medicine Physician
R7555
IA
208M00000X
Hospitalist Physician
Primary
DO-03754
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295848604
—
IA
01
—
P00708620
RR MEDICARE
IA
Enumeration date
08/17/2006
Last updated
08/01/2023
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