Provider Demographics
NPI:1437192283
Name:MELNYK, OKSANA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:OKSANA
Middle Name:Y
Last Name:MELNYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13712 SAINT MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-6203
Mailing Address - Country:US
Mailing Address - Phone:501-413-7394
Mailing Address - Fax:
Practice Address - Street 1:9600 LILE DR STE 210
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6344
Practice Address - Country:US
Practice Address - Phone:501-217-0500
Practice Address - Fax:501-217-9400
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4859207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE-4859OtherMEDICAL LICENSE
AR163438001Medicaid
AR07110012200OtherQUALCHOICE
AR7430797OtherAETNA
ARI61643Medicare UPIN
AR7430797OtherAETNA
AR163438001Medicaid