MALAMA MEDICAL LLC NPI 1023775830

NPI Information

NPI: 1023775830
Provider Name: MALAMA MEDICAL, LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
4604 YORK RD
BALTIMORE, MD
ZIP 21212
Phone: (443) 802-5130
Get Directions

MALAMA MEDICAL, LLC is an addiction medicine preventive medicine in Baltimore, MD. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. MALAMA MEDICAL, LLC NPI is 1023775830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4604 YORK RD
BALTIMORE, MD
ZIP 21212-726
Phone: (443) 802-5130

The provider's authorized official is Kimela J Ferguson .
The authorized official title is Owner/ Nurse Practitioner and has the following contact phone number (443) 802-5130.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 3/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
3	323P00000X	Psychiatric Residential Treatment Facility		No
4	324500000X	Substance Abuse Rehabilitation Facility		No
5	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
6	2083A0300X	Preventive Medicine	Addiction Medicine	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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