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NPI Code Detail

MEDICARE: DR. CATHARINE MALMSTEN M.D.

MEDICARE: DR. CATHARINE MALMSTEN M.D.
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
1207RC0000XCardiovascular Disease Physician51440WI
2207R00000XInternal Medicine PhysicianA92678CA

Other Identifiers

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

General Provider Information

NPI Number : 1205812195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHARINE MALMSTEN M.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9394 BIG HORN BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7977
Country : US
Telephone Number : 916-691-8500
Fax Number : 916-691-8599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/23/2022

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Directions to “ DR. CATHARINE MALMSTEN M.D.” Practice Location

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