Malostovker, Inna

Malostovker, Inna is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Malostovker, Inna can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Fax: (828) 580-3259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 218412 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200300065 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 070501 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X PT14398 North Dakota

Profile Details

NPI number 1033189949
LBN Legal business name Malostovker, Inna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 12th, 2023 - about last year

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 1033189949 NPPES
New York MEDICAID 02732396

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