HomeNPI Verification

NPI Verification

National Provider Identifier: 1164715926

Melissa Teresa Fagonde, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1160 VARNUM STREET , NE

DEPAUL 110

WASHINGTON, DC 200172107

Phone: 202-448-4090

NPI Enumeration Date

May 26, 2011

NPI Number

1164715926

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry