Healthcare Provider Details

I. General information

NPI: 1669119079
Provider Name (Legal Business Name): ORLANDO DAVID MALDONADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 ORTHO LN STE 20
BROWNSBURG IN
46112-9354
US

IV. Provider business mailing address

7950 ORTHO LN STE 20
BROWNSBURG IN
46112-9354
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax: 216-456-8128
Mailing address:
  • Phone: 216-468-5000
  • Fax: 216-456-8128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01099694A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: