MEDICARE: DR. FRANK MALENSEK 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD.25315	AL
2	207R00000X	Internal Medicine Physician	MD00025315	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00045455	OTHER	AL	RRMCR PROVIDER NUMBER
2	051516365	OTHER	AL	BCBS PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598739500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MALENSEK M.D.

Provider Business Mailing Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:	POB III SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4664
Fax Number	:	205-918-1467

Provider Business Practice Location Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:	POB III SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4664
Fax Number	:	205-918-1467

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	11/01/2019

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Directions to “ DR. FRANK MALENSEK M.D.” Practice Location

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