Provider Demographics
NPI:1376501551
Name:HUIE, MELVIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:J
Last Name:HUIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 ALTARINDA RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2607
Mailing Address - Country:US
Mailing Address - Phone:925-254-3455
Mailing Address - Fax:925-254-3828
Practice Address - Street 1:15 ALTARINDA RD
Practice Address - Street 2:SUITE 111
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2607
Practice Address - Country:US
Practice Address - Phone:925-254-3455
Practice Address - Fax:925-254-3828
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG72036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA110131027OtherRAILROAD MEDICARE
CA00G720360Medicare ID - Type Unspecified
CA110131027OtherRAILROAD MEDICARE