Individual
ELIOT A. DEMELLO
Active
Individual
ELIOT A. DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-4005
HI
207P00000X
Emergency Medicine Physician
MD4005
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00298003
—
HI
05
—
00298009
—
HI
01
—
56214644596746A011
TRICARE
HI
01
—
56214644596796A020
TRICARE
HI
Enumeration date
06/22/2006
Last updated
07/02/2015
Update your record
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