Malov, Stanislav

Malov, Stanislav is an sole proprietor health care provider with primary practice located at 1500 E Gude Dr , Rockville MD 20850-5307. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Malov, Stanislav can be contacted via phone (240) 777-1680.

Contact Information

Primary practice address
1500 E Gude Dr Rockville MD 20850-5307
Phone: (240) 777-1680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0055905 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D0055905 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X D0055905 Maryland

Profile Details

NPI number 1093716854
LBN Legal business name Malov, Stanislav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Sep 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093716854 NPPES
Maryland Other D0055905 STATE LICENSE NUMBER
Maryland MEDICAID 485601500 STATE LICENSE NUMBER

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