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NPI Code Detail

MEDICARE: STEFFY MALAYIL PA-C

MEDICARE:   STEFFY  MALAYIL  PA-C
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
1363A00000XPhysician Assistant25MP00579300NJ
2363A00000XPhysician Assistant1173623
3363A00000XPhysician AssistantPA.0006490CO

General Provider Information

NPI Number : 1871103531
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFFY MALAYIL PA-C
Provider Business Mailing Address
First Line : 331 NEWMAN SPRINGS RD STE 220
Second Line :
City : RED BANK
State : NJ
Zip : 07701-5792
Country : US
Telephone Number : 732-807-0877
Fax Number :
Provider Business Practice Location Address
First Line : 960 E HARVARD AVE FL 1
Second Line :
City : DENVER
State : CO
Zip : 80210-7008
Country : US
Telephone Number : 303-778-5774
Fax Number : 303-778-2436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 01/22/2025

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Directions to “ STEFFY MALAYIL PA-C” Practice Location

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