Provider Demographics
NPI:1538287339
Name:TOUFIC S. MELKI,MS,MD,PA
Entity Type:Organization
Organization Name:TOUFIC S. MELKI,MS,MD,PA
Other - Org Name:THE RETINA CENTERS OF WASHINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOUFIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:MELKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-279-9123
Mailing Address - Street 1:15020 SHADY GROVE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3379
Mailing Address - Country:US
Mailing Address - Phone:301-279-9123
Mailing Address - Fax:301-279-6828
Practice Address - Street 1:15020 SHADY GROVE RD STE 302
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3379
Practice Address - Country:US
Practice Address - Phone:301-279-9123
Practice Address - Fax:301-279-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01071Medicare UPIN
G01681Medicare PIN