DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALBERTA JANE MALOOF M.D.

MEDICARE: ALBERTA JANE MALOOF 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
12085R0202XDiagnostic Radiology Physician19043WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2001718795OTHERWVBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720080906
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERTA JANE MALOOF M.D.
Provider Business Mailing Address
First Line : PO BOX 840
Second Line :
City : LIMA
State : OH
Zip : 45802-0840
Country : US
Telephone Number : 877-574-7116
Fax Number : 419-223-2726
Provider Business Practice Location Address
First Line : 4605 MACCORKLE AVE SW
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25309-1311
Country : US
Telephone Number : 304-766-3600
Fax Number : 304-343-4626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 06/10/2021

Similar Medicare Providers

1164425542 — DAVID ABRAMOWITZ M.D.
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-766-3600
Practice Fax: 304-343-4626
1851393045 — JAMES J BAEK M.D.
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-766-3600
Practice Fax: 304-343-4626
1780688614 — DR. LEO BERMAN GIBSON JR. RETIRED
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-414-4800
Practice Fax:
1649274044 — MICHELLE R BURDETTE MD, RETIRED
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-414-4800
Practice Fax:
1346249448 — KANAWHA PATHOLOGY ASSOCIATES INC
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-766-3560
Practice Fax:
1568459162 — NOEL M. DOROMAL M.D.
Practice Location Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25309-1311
Practice Phone: 304-766-3600
Practice Fax: 304-766-3477

Directions to “ ALBERTA JANE MALOOF M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.