Provider Demographics
NPI:1801912894
Name:MELOUKHEIA, AYSHA (MD)
Entity type:Individual
Prefix:
First Name:AYSHA
Middle Name:
Last Name:MELOUKHEIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2749 RAINBOW SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7783
Mailing Address - Country:US
Mailing Address - Phone:407-275-0745
Mailing Address - Fax:407-275-0829
Practice Address - Street 1:422 S ALAFAYA TRAIL SUITE 17
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828
Practice Address - Country:US
Practice Address - Phone:407-275-0745
Practice Address - Fax:407-275-0829
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME857392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50184AOtherBCBS
FLK5634AOtherGROUP MEDICARE
FLE7684XMedicare PIN
FLK5634AOtherGROUP MEDICARE