Provider Demographics
NPI:1710934203
Name:RATINI, MELINDA M (DO)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:M
Last Name:RATINI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 RADCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-5017
Mailing Address - Country:US
Mailing Address - Phone:215-788-7070
Mailing Address - Fax:215-788-7560
Practice Address - Street 1:501 BATH RD STE 209A
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-3101
Practice Address - Country:US
Practice Address - Phone:215-785-9830
Practice Address - Fax:215-785-9822
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005725L207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232544487OtherPHCS
PA232544487OtherNEW JERSY BLUE SHIELD
PA611254538AOtherCIGNA HMO
PABUP002OtherOXFORD
PA1025788OtherKEYSTONE MERCY
PA232544487OtherHORIZON
PA080181038OtherRAILROAD MEDICARE
PA117447OtherIBC
PA0022647000OtherKEYSTONE
PA0004135323OtherAETNA MANAGED CARE
PA232544487OtherCIGNA PPO
PA0010420600001Medicaid
PA19957OtherAETNA HMO