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General NPI Number Information
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NPI Number | 1851528228
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Entity Type | Individual
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Provider Name | KUDAKWASHE KUDA MALONEY M.D
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 204
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 281-607-7739
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Fax | 281-299-0091
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Provider Business Mailing Address
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Address Line | 3320 OAKWELL CT
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City | SAN ANTONIO
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State | TX
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Zip | 78218-3128
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Country | US
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Telephone | 210-829-5180
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036170736
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | P9644
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | P9644
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License Number State | TX
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