Individual
DR. MELISSA YADAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8101 HINSON FARM RD, SUITE 301, ALEXANDRIA, VA 22306-3403
(301) 856-1682
Mailing address
8926 WOODYARD RD, SUITE 701, CLINTON, MD 20735-4220
(301) 856-1682
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101058134
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010017637
—
VA
01
—
017482YZW
METRO MEDICARE INDIVIDUAL PROVIDER #
—
01
—
10981133
CAQH
VA
01
—
145530100
DEPARTMENT OF LABOR
—
01
—
176608
METRO MEDICARE GROUP PTAN
—
01
—
4695-0043
CAREFIRST NCA
—
01
—
P00887808
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
03/21/2011
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