MEDICARE: DR. SALMAN MALAD MD

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
1	207RX0202X	Medical Oncology Physician	41967	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00444174	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4160095	OTHER	TN	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316936222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALMAN MALAD MD

Provider Business Mailing Address
First Line	:	2500 E HUNT DR STE H-J
Second Line	:
City	:	SHOW LOW
State	:	AZ
Zip	:	85901-7954
Country	:	US
Telephone Number	:	928-537-6937
Fax Number	:	928-532-8798

Provider Business Practice Location Address
First Line	:	2500 E HUNT DR STE H-J
Second Line	:
City	:	SHOW LOW
State	:	AZ
Zip	:	85901-7954
Country	:	US
Telephone Number	:	928-537-6937
Fax Number	:	928-532-8798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	01/01/2024

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Directions to “ DR. SALMAN MALAD MD” Practice Location

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