Provider Demographics
NPI:1265941223
Name:MELEPURA MEDICAL P. C.
Entity type:Organization
Organization Name:MELEPURA MEDICAL P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FEBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELEPURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-355-8332
Mailing Address - Street 1:8539 257TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4720 CENTER BLVD APT 2503
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11109-5659
Practice Address - Country:US
Practice Address - Phone:646-355-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty