Provider Demographics
NPI:1225020670
Name:OAKLEY, MELVIN LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:LEONARD
Last Name:OAKLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 ELBA HWY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36079-6020
Mailing Address - Country:US
Mailing Address - Phone:334-670-6726
Mailing Address - Fax:334-670-6731
Practice Address - Street 1:23 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-4444
Practice Address - Country:US
Practice Address - Phone:334-687-8051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-20
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1225020670Medicaid
AL10711OtherBLUE CROSS
AL110004317OtherRAILROAD MEDICARE
GA000244494AMedicaid
AL000010711Medicaid
AL000010711Medicaid
AL1225020670Medicare PIN
AL10711OtherBLUE CROSS