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NPI Code Detail

MEDICARE: MICHAEL D MALONEY MD

MEDICARE: MICHAEL D MALONEY MD
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 PhysicianG46471CA

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 : 1992787238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D MALONEY MD
Provider Business Mailing Address
First Line : PO BOX 1105
Second Line :
City : YREKA
State : CA
Zip : 96097-1105
Country : US
Telephone Number : 530-842-4121
Fax Number : 530-842-9054
Provider Business Practice Location Address
First Line : 444 BRUCE ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3450
Country : US
Telephone Number : 530-842-4121
Fax Number : 530-842-9054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 01/12/2009

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