| George Mellos Md Pllc | |
|
43200 Dequindre Rd Ste 104 Sterling Heights MI 48314-1707 | |
| (586) 799-4350 | |
| (586) 799-4279 |
| Full Name | George Mellos Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 43200 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | George E Mellos (OWNER) |
| Authorized Official Contact | 2489498886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Mellos Md Pllc 28890 Village Ln Farmington Hills MI 48334-3154 Ph: (248) 949-8886 | George Mellos Md Pllc 43200 Dequindre Rd Ste 104 Sterling Heights MI 48314-1707 Ph: (586) 799-4350 |
| NPI Number | 1619422649 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 1759662547 |
|---|---|
| Medicare Enrollment ID | O20170110002951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619422649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 4301050595 (Michigan) | Primary |
| Provider Name | George E Mellos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295824647 PECOS PAC ID: 2466469796 Enrollment ID: I20060313000101 |
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