Organization
ROBERT M MELNIKOFF M D INC
Active
Organization
ROBERT M MELNIKOFF M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L FOX (BUS MANAGER)
(650) 988-6900
Entity
Organization
Contact information
Practice address
2500 HOSPITAL DR, 4B, MOUNTAIN VIEW, CA 94040-4106
(650) 988-6900
Mailing address
2500 HOSPITAL DR, 4B, MOUNTAIN VIEW, CA 94040-4106
(650) 988-6900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A19015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EF630A
MEDICARE PTAN
CA
Enumeration date
10/22/2010
Last updated
04/09/2011
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