| Doctor Name: | DR. MELLODY ROXXANNA HAYES |
| NPI Number: | 1972856904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A122763 |
| Business Practice Address: | 513 Parnassus Ave Rm. S436 San Francisco, CA - 941432205 |
| Business Phone Number: | 4155627910 |
| Business Fax Number: | |
| Mailing Address: | 513 Parnassus Ave, Rm. S436 SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941432205 |
| Phone Number: | 4155627910 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2012 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A122763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |