Melvin Jay Prince, M.D.
Internal Medicine in Indianapolis, IN. Individual provider (NPI-1).
NPI number1982245593
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1982245593
- Entity type
- Individual (NPI-1)
- Name
- Melvin Jay Prince
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01039882A | IN | Yes |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 01039882A | IN |
Practice location
Gennesaret Free Clinic 615 N Alabama StSuite 136
Indianapolis, IN 46204
Phone 317-639-5645
Mailing address
9510 N. Kissell Rd.Zionsville, IN 46077
Phone 317-507-3986
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