Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 01367 | MD |
N | 213EP1101X | Primary Podiatric Medicine | PO1000055 | DC |
NPI | 1588665418 |
---|---|
Provider Name | Melinda Renee Zellars |
First Address | White Marsh, MD 21162-1717 |
Second Address | Lanham, MD 20706-2273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 09/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009436600 | MEDICAL ASSISTANCE (01) | MD |
039223700 | MEDICAL ASSISTANCE (01) | DC |
135514 | MEDICARE (01) | MD |
492128 | MEDICARE (01) | DC |
49380001 | CAREFIRST (01) | DC |
49380001 | CAREFIRST (01) | MD |
BK640000 | CAREFIRST (01) | DC |
BK640000 | CAREFIRST (01) | MD |
P00178082 | RAILROAD MEDICARE (01) | MD |