Provider Demographics
NPI:1023278694
Name:MORGAN-GOUVEIA, MELISSA D (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:D
Last Name:MORGAN-GOUVEIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:DANIELLE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:501 W 14TH ST
Mailing Address - Street 2:WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1013
Mailing Address - Country:US
Mailing Address - Phone:302-428-4411
Mailing Address - Fax:302-428-4667
Practice Address - Street 1:501 W 14TH ST
Practice Address - Street 2:WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-428-4411
Practice Address - Fax:302-428-4667
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD74134207R00000X, 207RG0300X
DEC1-0010445207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD56563600Medicaid
MD244938ZAD0Medicare PIN
MD244938Y82Medicare PIN