Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Thomas Meledathu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679418909

Shane Thomas Meledathu is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

185 S Orange Ave
Newark, NJ 07103-2757
Phone: (732) 445-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679418909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address185 S Orange Ave, Newark, NJ 07103-2757

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