Provider Demographics
NPI:1154413045
Name:OSBY, MELANIE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:ANNE
Last Name:OSBY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1200 N STATE ST
Mailing Address - Street 2:CLINIC TOWER A7E114
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1029
Mailing Address - Country:US
Mailing Address - Phone:323-409-5964
Mailing Address - Fax:323-441-8193
Practice Address - Street 1:1200 N STATE ST
Practice Address - Street 2:CLINIC TOWER A7E114
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1029
Practice Address - Country:US
Practice Address - Phone:323-409-5964
Practice Address - Fax:323-441-8193
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2010-07-07
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Provider Licenses
StateLicense IDTaxonomies
CAA76743207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology