Provider Demographics
NPI:1801196977
Name:UNAL, MELTEM
Entity Type:Individual
Prefix:
First Name:MELTEM
Middle Name:
Last Name:UNAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2116
Mailing Address - Country:US
Mailing Address - Phone:301-770-4096
Mailing Address - Fax:301-770-4295
Practice Address - Street 1:5200 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2116
Practice Address - Country:US
Practice Address - Phone:301-770-4096
Practice Address - Fax:301-770-4295
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist