DR. JEDIDIAH JONAH MALAN MD NPI 1396966040

NPI Information

NPI: 1396966040
Provider Name: DR. JEDIDIAH JONAH MALAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
815 2ND AVE
SUITE 202
FAIRBANKS, AK
ZIP 99701
Phone: (316) 519-7664
Get Directions

DR. Jedidiah Jonah Malan, MD is a diagnostic radiology radiology in Fairbanks, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jedidiah Jonah Malan, MD NPI is 1396966040. 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:

815 2ND AVE
SUITE 202
FAIRBANKS, AK
ZIP 99701-400
Phone: (316) 519-7664

The enumeration date for this NPI number is 5/1/2007 and was last updated on 10/7/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	MD60225585	WASHINGTON	No
2	2085R0202X	Radiology	Diagnostic Radiology	6326	ALASKA	Yes
3	2085R0202X	Radiology	Diagnostic Radiology	6347	KANSAS	No

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: 5/5/2024

NPI Synchronization or Removal

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