Malkoff, Marc David

Malkoff, Marc David is an individual health care provider with primary practice located at 855 Monroe Ave Suite 415 Link Building, Memphis TN 38103-4901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Malkoff, Marc David can be contacted via phone (901) 448-2625.

Contact Information

Primary practice address
855 Monroe Ave Suite 415 Link Building Memphis TN 38103-4901
Phone: (901) 448-2625
Fax: (901) 448-7440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51347 Tennessee
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 51347 Tennessee

Profile Details

NPI number 1477660306
LBN Legal business name Malkoff, Marc David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 25th, 2015 - about 9 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 1477660306 NPPES
Tennessee Other 6024333 BCBS
Tennessee Other P01484270 BCBS
Tennessee MEDICAID 00601253 BCBS
Tennessee MEDICAID 122553001 BCBS
Tennessee MEDICAID Q005342 BCBS

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