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1184624744

NPI Code Detail

MEDICARE: DR. MELINDA ASTRAN MD

MEDICARE: DR. MELINDA ASTRAN 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
1	207Q00000X	Family Medicine Physician	34058	AZ
2	207Q00000X	Family Medicine Physician	C163169	CA
3	207Q00000X	Family Medicine Physician	K7650	TX
4	207Q00000X	Family Medicine Physician	ME88278	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00296621	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1073680468	OTHER		PRACTICE NPI
3	34058	OTHER	AZ	MEDICAL LICENSE

General Provider Information

NPI Number	:	1184624744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA ASTRAN MD

Provider Business Mailing Address
First Line	:	1114 YUBA ST STE 220
Second Line	:
City	:	MARYSVILLE
State	:	CA
Zip	:	95901-4838
Country	:	US
Telephone Number	:	530-749-3242
Fax Number	:	530-749-3248

Provider Business Practice Location Address
First Line	:	1275 THARP RD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-2645
Country	:	US
Telephone Number	:	530-749-3242
Fax Number	:	530-749-3248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/10/2025

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Directions to “ DR. MELINDA ASTRAN MD” Practice Location

Language	Start Address	Practice Location

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