Individual
DR. MELVIN ROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1098 W BALTIMORE PIKE STE 3407, MEDIA, PA 19063-5139
(610) 566-7127
(610) 566-0793
Mailing address
1019 STANFORD DR, WYNNEWOOD, PA 19096-2031
(610) 446-2260
(610) 446-3360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD033859E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000 1930655
UNITED HEALTHCARE
PA
01
—
1151931
AETNA HMO
PA
01
—
2632612000
KEYSTONE
PA
01
—
524894
MEDICARE GROUP NUMBER
PA
Enumeration date
09/30/2005
Last updated
11/12/2024
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