Individual
ITAY MELAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6026
(570) 808-3298
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
50908
CO
207T00000X
Neurological Surgery Physician
Primary
CP1351
NE
207T00000X
Neurological Surgery Physician
MD458897
PA
208600000X
Surgery Physician
T2001013358
MO
Other
Enumeration date
09/25/2006
Last updated
06/10/2026
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