Individual
ORI MELAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-7015
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-7015
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A84986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENSE
A84986
CA
05
—
ZZZ83789Z
—
CA
Enumeration date
01/25/2007
Last updated
06/22/2020
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