Individual
EMMANUEL MELONAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 291-5437
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01098808A
IN
208000000X
Pediatrics Physician
Primary
35.152019
OH
208600000X
Surgery Physician
MT205300
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080057
—
OH
Enumeration date
06/27/2011
Last updated
02/10/2026
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