Provider Demographics
NPI:1881611382
Name:GREER, MELISSA KURKJIAN (MD/MPH)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KURKJIAN
Last Name:GREER
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:KURKJIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD/MPH
Mailing Address - Street 1:30 W MONROE ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1950 EPHRIHAM AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-6670
Practice Address - Country:US
Practice Address - Phone:817-813-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD0000Medicare UPIN