Individual
DR. RICHARD G DMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01047609
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200398050
—
IN
01
—
3900088571
RAILROAD MEDICARE
IN
05
—
64063555
—
KY
01
—
7928408
AETNA
IN
01
—
86207
COVENTRY
KY
Enumeration date
08/01/2005
Last updated
08/27/2013
Update your record
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