Individual
JOSEPH KEITH MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 K ST NW STE 800, WASHINGTON, DC 20037-1888
(202) 715-4225
(202) 715-4663
Mailing address
2131 K ST NW STE 800, WASHINGTON, DC 20037-1888
(202) 715-4225
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
270515
NY
204F00000X
Transplant Surgery Physician
D62233
MD
204F00000X
Transplant Surgery Physician
Primary
MD037319
DC
208600000X
Surgery Physician
270515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03687809
—
NY
05
—
405991300
—
MD
01
—
P00894808
RAILROAD MEDICARE
DC
Enumeration date
05/10/2006
Last updated
02/02/2021
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