MEDICARE: ALEXANDER MALAYEV MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician
3	208600000X	Surgery Physician
4	213E00000X	Podiatrist
5	213ES0103X	Foot & Ankle Surgery Podiatrist
6	363A00000X	Physician Assistant
7	363L00000X	Nurse Practitioner
8	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1861400095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER MALAYEV MD PC

Provider Business Mailing Address
First Line	:	PO BOX 30117
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2053
Country	:	US
Telephone Number	:	888-402-0202
Fax Number	:	248-602-3431

Provider Business Practice Location Address
First Line	:	909 W MAPLE RD STE 111
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-1000
Country	:	US
Telephone Number	:	888-402-0202
Fax Number	:	248-602-3431

Authorized Official
Title or Position	:	RCM DIRECTOR
Name	:	KIMBERLY MILLER
Credential	:
Telephone Number	:	248-331-7908

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	12/13/2023

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