Provider Demographics
NPI:1558688572
Name:GIPP, MELANIE SUE (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:SUE
Last Name:GIPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 FLORENCE LN APT A
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4921
Mailing Address - Country:US
Mailing Address - Phone:650-833-9409
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR RM H3580
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-833-9409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD174115207L00000X, 207LP3000X
CAA113250207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology