Provider Demographics
NPI:1053449918
Name:CAROL, MELINDA LOKELANI (MD MPH)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:LOKELANI
Last Name:CAROL
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:MELINDA
Other - Middle Name:CAROL LOKELANI
Other - Last Name:MONIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:39180 FARWELL DR STE 231
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1015
Mailing Address - Country:US
Mailing Address - Phone:510-585-2545
Mailing Address - Fax:
Practice Address - Street 1:39180 FARWELL DR STE 211
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1015
Practice Address - Country:US
Practice Address - Phone:510-585-2545
Practice Address - Fax:510-505-9287
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036136499207X00000X, 2083X0100X
MI4301104493207X00000X
KY483642083X0100X
CAC1484392083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery