Provider Demographics
NPI:1386962082
Name:KUBIK, MELANIE JENNIFER (MD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:JENNIFER
Last Name:KUBIK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4647 ZION AVE
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2507
Mailing Address - Country:US
Mailing Address - Phone:619-528-5390
Mailing Address - Fax:619-528-6729
Practice Address - Street 1:4647 ZION AVE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2507
Practice Address - Country:US
Practice Address - Phone:619-528-5390
Practice Address - Fax:619-528-6729
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
CAA129187207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology