Provider Demographics
NPI:1477670727
Name:SHARKEY, MELINDA S (MD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:S
Last Name:SHARKEY
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 1:800 HOWARD AVE
Mailing Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1369
Mailing Address - Country:US
Mailing Address - Phone:203-785-2579
Mailing Address - Fax:203-737-5656
Practice Address - Street 1:800 HOWARD AVE
Practice Address - Street 2:ORTHOPEDIC SURGERY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1369
Practice Address - Country:US
Practice Address - Phone:203-785-2579
Practice Address - Fax:203-737-5656
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96126207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery