Provider Demographics
NPI:1336024546
Name:COLON, MELANIE A
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:A
Last Name:COLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGARA
Other - Middle Name:
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:392 11TH ST UNIT 506
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4266
Mailing Address - Country:US
Mailing Address - Phone:347-290-1827
Mailing Address - Fax:
Practice Address - Street 1:315 TURK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3703
Practice Address - Country:US
Practice Address - Phone:628-202-2164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other