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NPI Code Detail

MEDICARE: ALEXANDER MALATI DO

MEDICARE: ALEXANDER MALATI DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922749001
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER MALATI DO
Provider Business Mailing Address
First Line : 3401 SPRINGHILL DR STE 400
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2928
Country : US
Telephone Number : 501-945-8838
Fax Number :
Provider Business Practice Location Address
First Line : 3401 SPRINGHILL DR STE 490
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2933
Country : US
Telephone Number : 501-945-8838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 06/06/2023

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Directions to “ ALEXANDER MALATI DO” Practice Location

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