Individual
MELISSA M DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14828 GREYHOUND CT STE 100, CARMEL, IN 46032-5016
(317) 582-9200
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01061978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201051900
—
IN
Enumeration date
05/15/2007
Last updated
09/14/2016
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