Provider Demographics
NPI:1396716114
Name:KAIME, ELAINE MELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:MELISSA
Last Name:KAIME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3974
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96160-3974
Mailing Address - Country:US
Mailing Address - Phone:240-575-8235
Mailing Address - Fax:
Practice Address - Street 1:10121 PINE AVENUE
Practice Address - Street 2:TAHOE FOREST CANCER CENTER
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161
Practice Address - Country:US
Practice Address - Phone:530-582-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0037506207RH0003X
CAGFE060114207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology