Provider Demographics
NPI:1588246342
Name:ESMAEILI GHAHFAROKHI, MELODY (MD, PHD)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:ESMAEILI GHAHFAROKHI
Suffix:
Gender:U
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:
Other - Last Name:ESMAEILI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UC IRVINE HEALTH, 101 THE CITY DRIVE
Practice Address - Street 2:CITY TOWER, SUITE 400
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:949-456-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA181325207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program