Provider Demographics
NPI:1275322448
Name:NAZARI, MELIKA K
Entity type:Individual
Prefix:
First Name:MELIKA
Middle Name:K
Last Name:NAZARI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 LEO LN
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-3066
Mailing Address - Country:US
Mailing Address - Phone:336-501-6344
Mailing Address - Fax:
Practice Address - Street 1:3739 BALBOA ST STE 1001
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2605
Practice Address - Country:US
Practice Address - Phone:415-604-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist