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NPI Code Detail

MEDICARE: MELVIN CHERNE MD

MEDICARE: MELVIN CHERNE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianG53555CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619962115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN CHERNE MD
Provider Business Mailing Address
First Line : PO BOX 15648
Second Line :
City : SACRAMENTO
State : CA
Zip : 95852-0648
Country : US
Telephone Number : 951-781-2270
Fax Number : 951-781-2293
Provider Business Practice Location Address
First Line : 85 SIERRA PARK RD
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-2073
Country : US
Telephone Number : 760-924-4070
Fax Number : 760-924-4207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 12/26/2020

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