Provider Demographics
NPI:1700833365
Name:MARCELO, NAPOLEON C (MD)
Entity Type:Individual
Prefix:
First Name:NAPOLEON
Middle Name:C
Last Name:MARCELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 MITCHELLVILLE RD
Mailing Address - Street 2:SUITE 430B
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3104
Mailing Address - Country:US
Mailing Address - Phone:301-262-8602
Mailing Address - Fax:301-805-7784
Practice Address - Street 1:4000 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 430B
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3104
Practice Address - Country:US
Practice Address - Phone:301-262-8602
Practice Address - Fax:301-805-7784
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031345207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD436051600Medicaid
MD013109R96Medicare ID - Type Unspecified
MD436051600Medicaid