| NPI | 1578549010 |
|---|---|
| Former Name | MELINDA S. SHADOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 64731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 251720) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2026-05-15 |