Provider Demographics
NPI:1053356667
Name:ISAAC, MELDA (MD)
Entity type:Individual
Prefix:DR
First Name:MELDA
Middle Name:
Last Name:ISAAC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELDA
Other - Middle Name:
Other - Last Name:ISAAC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1133 21ST ST NW STE 450
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3330
Mailing Address - Country:US
Mailing Address - Phone:202-393-7546
Mailing Address - Fax:202-393-7566
Practice Address - Street 1:1133 21ST ST NW STE 450
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3330
Practice Address - Country:US
Practice Address - Phone:202-393-7546
Practice Address - Fax:202-393-7566
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30797174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC490628Medicare ID - Type UnspecifiedPROVIDER NUMBER