Provider Demographics
NPI:1831114271
Name:BELAFSKY, MELVIN A (MD)
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:A
Last Name:BELAFSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2701 W ALAMEDA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4406
Mailing Address - Country:US
Mailing Address - Phone:818-843-8184
Mailing Address - Fax:818-843-4914
Practice Address - Street 1:2701 W ALAMEDA AVE STE 202
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4406
Practice Address - Country:US
Practice Address - Phone:818-843-8184
Practice Address - Fax:818-843-4914
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG276152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91065Medicare UPIN
CABY595ZMedicare PIN
CAWG27615AMedicare PIN