Individual provider · Type 1 NPI

Melanie Susan Sulistio, MD

Cardiovascular Disease Physician · Dallas, TX

NPI number 1124037528 Active

Practice location

5323 Harry Hines Boulevard
Dallas, TX 75390-7201

Fax (214) 645-0078

Mailing address

P.o. Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XM2135 (TX)
Cardiovascular Disease Physician Primary 207RC0000XM2135 (TX)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1124037528

Melanie Susan Sulistio, MD's National Provider Identifier is 1124037528, issued on Aug 5, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Dallas, TX. The record was last updated on May 18, 2015.