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NPI Code Detail

MEDICARE: GEORGE S. MALOUF, M.D., P.A.

MEDICARE: GEORGE S. MALOUF, M.D., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22294OTHERDCBCBS
3KW77GEOTHERMDBCBS

General Provider Information

NPI Number : 1124010962
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGE S. MALOUF, M.D., P.A.
Provider Business Mailing Address
First Line : 4400 TELFAIR BLVD STE D
Second Line :
City : CAMP SPRINGS
State : MD
Zip : 20746-5217
Country : US
Telephone Number : 301-423-5252
Fax Number : 301-423-2414
Provider Business Practice Location Address
First Line : 4400 TELFAIR BLVD STE D
Second Line :
City : CAMP SPRINGS
State : MD
Zip : 20746-5217
Country : US
Telephone Number : 301-423-5252
Fax Number : 301-423-2414
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. JENNIFER SUDAMA
Credential :
Telephone Number : 301-423-5252
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/21/2022

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Practice Location Address:
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CAMP SPRINGS, MD
20746-5217
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