Provider Demographics
NPI:1659547917
Name:KONG, MELISSA H (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:H
Last Name:KONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1950 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:E PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-2250
Mailing Address - Country:US
Mailing Address - Phone:650-617-8100
Mailing Address - Fax:650-327-2947
Practice Address - Street 1:1950 UNIVERSITY AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:E PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-2285
Practice Address - Country:US
Practice Address - Phone:650-617-8100
Practice Address - Fax:650-327-2947
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2017-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA116086207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease