Provider Demographics
NPI:1275643314
Name:SALUDES, MELVIN THEODORE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:THEODORE
Last Name:SALUDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6244
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0722
Mailing Address - Country:US
Mailing Address - Phone:304-843-5041
Mailing Address - Fax:304-845-4586
Practice Address - Street 1:426 8TH ST STE 305
Practice Address - Street 2:
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1451
Practice Address - Country:US
Practice Address - Phone:304-843-5041
Practice Address - Fax:304-845-4586
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV180099207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0941020Medicaid
WV0076373000Medicaid
OH0941020Medicaid
WV9345582Medicare ID - Type Unspecified
WV0076373000Medicaid