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WILLIS & MELOGRANA MD PC NPI 1063404325


NPI Information

NPI: 1063404325
Provider Name: WILLIS & MELOGRANA MD PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
7801 BELLE POINT DR
GREENBELT, MD
ZIP 20770
Phone: (301) 474-3636
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WILLIS & MELOGRANA MD PC is an urology in Greenbelt, MD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WILLIS & MELOGRANA MD PC NPI is 1063404325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7801 BELLE POINT DR
GREENBELT, MD
ZIP 20770-337
Phone: (301) 474-3636
Fax: (301) 513-5087

The provider's authorized official is Arnold J Willis .
The authorized official title is President and has the following contact phone number (301) 474-3636.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1023375200MEDICAIDDISTRICT OF COLUMBIA
2138401500MEDICAIDMARYLAND
3138401502MEDICAIDMARYLAND
4138401503MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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