Provider Demographics
NPI:1447370879
Name:MELDER, INDREK (MD)
Entity type:Individual
Prefix:DR
First Name:INDREK
Middle Name:
Last Name:MELDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 MEADOW HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8598
Mailing Address - Country:US
Mailing Address - Phone:509-628-3919
Mailing Address - Fax:
Practice Address - Street 1:1979 SNYDER ST STE 150
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-5321
Practice Address - Country:US
Practice Address - Phone:509-376-4127
Practice Address - Fax:509-373-0944
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000406492083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine