Provider Demographics
NPI:1184624744
Name:ASTRAN, MELINDA (MD)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:
Last Name:ASTRAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 YUBA ST STE 220
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-4838
Mailing Address - Country:US
Mailing Address - Phone:530-749-3242
Mailing Address - Fax:530-749-3248
Practice Address - Street 1:1275 THARP RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2645
Practice Address - Country:US
Practice Address - Phone:530-749-3242
Practice Address - Fax:530-749-3248
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34058207Q00000X
CAC163169207Q00000X
TXK7650207Q00000X
FLME88278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ970089Medicaid
1073680468OtherPRACTICE NPI
AZ34058OtherMEDICAL LICENSE
P00296621OtherRAILROAD MEDICARE
AZ033999Medicare Oscar/Certification
H92386Medicare UPIN
AZ003987Medicare Oscar/Certification
AZ34058OtherMEDICAL LICENSE
P00296621OtherRAILROAD MEDICARE