Healthcare Provider Details

I. General information

NPI: 1598739500
Provider Name (Legal Business Name): FRANK MALENSEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 SAINT VINCENTS DR POB III SUITE 300
BIRMINGHAM AL
35205-1606
US

IV. Provider business mailing address

833 SAINT VINCENTS DR POB III SUITE 300
BIRMINGHAM AL
35205-1606
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-4664
  • Fax: 205-918-1467
Mailing address:
  • Phone: 205-933-4664
  • Fax: 205-918-1467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00025315
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD.25315
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: