Provider Demographics
NPI:1891736641
Name:MENEZES, MELINDA JOYCE (MD)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOYCE
Last Name:MENEZES
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 1:3145 AKAHI ST STE A
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1183
Mailing Address - Country:US
Mailing Address - Phone:808-855-8436
Mailing Address - Fax:844-698-0748
Practice Address - Street 1:3145 AKAHI ST STE A
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1183
Practice Address - Country:US
Practice Address - Phone:808-855-8436
Practice Address - Fax:844-698-0748
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI11781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH65254Medicare UPIN