MEDICARE: DR. EUGENIA C MALENKOS D.P.M.

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
1	213ES0131X	Foot Surgery Podiatrist	07001111A	IN
2	213E00000X	Podiatrist	41000219A	IN

General Provider Information

NPI Number	:	1992960124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENIA C MALENKOS D.P.M.

Provider Business Mailing Address
First Line	:	9011 N MERIDIAN ST STE 204
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5301
Country	:	US
Telephone Number	:	317-218-4095
Fax Number	:	877-476-7125

Provider Business Practice Location Address
First Line	:	9011 N MERIDIAN ST STE 204
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5301
Country	:	US
Telephone Number	:	317-218-4095
Fax Number	:	877-476-7125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	05/26/2026

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