Provider Demographics
NPI:1215084025
Name:KAPTIK, MELISSA YEH (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:YEH
Last Name:KAPTIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JANET
Other - Last Name:YEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1708 YAKIMA AVE
Mailing Address - Street 2:#107
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5307
Mailing Address - Country:US
Mailing Address - Phone:253-272-5881
Mailing Address - Fax:253-383-0161
Practice Address - Street 1:1708 YAKIMA AVE
Practice Address - Street 2:#107
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5307
Practice Address - Country:US
Practice Address - Phone:253-272-5881
Practice Address - Fax:253-383-0161
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39830207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program