Healthcare Provider Details
I. General information
NPI: 1447573498
Provider Name (Legal Business Name): MELISSA C LIEBOWITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/04/2010
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 PARNASSUS AVE BOX 0110
SAN FRANCISCO CA
94143-2204
US
IV. Provider business mailing address
550 16TH STREET 5TH FLOOR, BOX 0734
SAN FRANCISCO CA
94143
US
V. Phone/Fax
- Phone: 415-476-6245
- Fax:
- Phone: 561-302-6733
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | A117110 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | DR.0065545 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: