Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 01043218 | IN |
NPI | 1063460848 |
---|---|
Provider Name | Dr. Melanie S Barrido |
First Address | Fort Wayne, IN 46804-4165 |
Second Address | Fort Wayne, IN 46804-4165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 02/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200212750 | (05) | IN |
G43270 | (02) | IN |