Individual
DR. CONSTANTINE MELITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454-5915
(805) 346-3456
(805) 346-3454
Mailing address
1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454-5915
(805) 434-5530
(805) 556-3090
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A167829
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
10/02/2024
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