Individual
MELANIE A MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DRIVE # H-315, PALO ALTO, CA 94305-5208
(650) 724-2865
(650) 498-4555
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
A72413
CA
207SG0201X
Clinical Genetics (M.D.) Physician
A72413
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A72413
CA
208000000X
Pediatrics Physician
A72413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A72413
MEDICAL LICENSE
CA
01
—
MD-12560
MEDICAL LICENSE
HI
Enumeration date
11/17/2006
Last updated
03/14/2024
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