Search › Maryland › 207PE0004X
Kraig Melville
NPI 1821043266 · on the registry since 2006
Practice
- Address
- 900 S Caton Ave
Baltimore, MD 21229 - Phone
- (410) 368-2014
- Organisation at this address
- Walgreen Co
St Agnes Hospital
Etienne T. Ngoumgna
St. Agnes Healthcare, Inc.
Baltimore Medical Systems, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 211
Additional practice sites
- 12997 Warwick Blvd, Newport News, VA
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Also registered as
- 207P00000X
- Licence states on file
- VA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland