Malandra, Michael A.

Malandra, Michael A. is an sole proprietor health care provider with primary practice located at 4001 Dale St Ste 201 , Anchorage AK 99508-5445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Malandra, Michael A. can be contacted via phone (907) 212-2240.

Contact Information

Primary practice address
4001 Dale St Ste 201 Anchorage AK 99508-5445
Phone: (907) 212-2240
Fax: (907) 212-2872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 164773 Alaska

Profile Details

NPI number 1972829356
LBN Legal business name Malandra, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2010
Last updated Mar 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972829356 NPPES
Alaska MEDICAID 1709527

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