DR. STANISLAV MALOV M.D. NPI 1093716854

NPI Information

NPI: 1093716854
Provider Name: DR. STANISLAV MALOV, M.D.
Classification: Anesthesiology - 207LA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
1500 E GUDE DR
ROCKVILLE, MD
ZIP 20850
Phone: (240) 777-1680
Get Directions

DR. Stanislav Malov, M.D. is an addiction medicine anesthesiology in Rockville, MD. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. DR. Stanislav Malov, M.D. NPI is 1093716854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E GUDE DR
ROCKVILLE, MD
ZIP 20850-307
Phone: (240) 777-1680

The enumeration date for this NPI number is 8/2/2005 and was last updated on 9/27/2022.

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	License Number	License State	Primary
1	207L00000X	Anesthesiology		D0055905	MARYLAND	No
2	207LP2900X	Anesthesiology	Pain Medicine	D0055905	MARYLAND	No
3	207LA0401X	Anesthesiology	Addiction Medicine	D0055905	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D0055905	OTHER	MARYLAND	STATE LICENSE NUMBER
2	485601500	MEDICAID	MARYLAND

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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