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NPI Code Detail

MEDICARE: KUDAKWASHE KUDA MALONEY M.D

MEDICARE: KUDAKWASHE KUDA MALONEY 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
1207N00000XDermatology Physician036170736IL
2207ZD0900XDermatopathology (Pathology) PhysicianP9644TX
3207N00000XDermatology PhysicianP9644TX

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 : 1851528228
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUDAKWASHE KUDA MALONEY M.D
Provider Business Mailing Address
First Line : 3320 OAKWELL CT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-3128
Country : US
Telephone Number : 210-829-5180
Fax Number :
Provider Business Practice Location Address
First Line : 5373 W ALABAMA ST STE 204
Second Line :
City : HOUSTON
State : TX
Zip : 77056-5923
Country : US
Telephone Number : 281-607-7739
Fax Number : 281-299-0091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2009
Last Update Date : 02/18/2025

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Directions to “ KUDAKWASHE KUDA MALONEY M.D” Practice Location

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