Individual
IAN MELOVIDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHA I
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
25-00628-I
AK
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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