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
Phone: (701) 234-2000
Fax: (828) 580-3259
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033189949 | NPPES |
New York | MEDICAID | 02732396 |
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