Individual
MELLENA GIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-7749
Mailing address
10306 MERIDIAN AVE N APT 202, SEATTLE, WA 98133-9445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60682151
WA
208M00000X
Hospitalist Physician
Primary
MD60682151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063830131
—
WA
Enumeration date
04/04/2014
Last updated
03/17/2018
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