Provider Demographics
NPI:1558758052
Name:D'MELLO, RASHMI GISELLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:RASHMI
Middle Name:GISELLE
Last Name:D'MELLO
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 1:2550 NILES RD.
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085
Mailing Address - Country:US
Mailing Address - Phone:269-429-1085
Mailing Address - Fax:269-429-2202
Practice Address - Street 1:2550 NILES RD.
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085
Practice Address - Country:US
Practice Address - Phone:269-429-1085
Practice Address - Fax:269-429-2202
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301501986207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology