Provider Demographics
NPI:1437598166
Name:CAHA, MELISSA ANN (DO)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:CAHA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:RIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:211 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-3484
Mailing Address - Country:US
Mailing Address - Phone:308-865-2141
Mailing Address - Fax:308-698-1330
Practice Address - Street 1:211 W 33RD ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-3484
Practice Address - Country:US
Practice Address - Phone:308-865-2141
Practice Address - Fax:308-698-1330
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1437208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics