Provider Demographics
NPI:1477679793
Name:MCNAMARA, MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 CAMINO RAMON STE 286
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2029
Mailing Address - Country:US
Mailing Address - Phone:925-242-1111
Mailing Address - Fax:925-901-0206
Practice Address - Street 1:2301 CAMINO RAMON STE 286
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2029
Practice Address - Country:US
Practice Address - Phone:925-242-1111
Practice Address - Fax:925-901-0206
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79240207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology