Deborah Lynn Malkovich
Adolescent Medicine
19522 Doctors Dr
Germantown
, Maryland 20874-5200
Deborah Lynn Malkovich
Adolescent Medicine
19522 Doctors Dr
Germantown
, Maryland 20874-5200
(301) 368-3258
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Deborah Lynn Malkovich
- 22321 Essex View Dr
- Gaithersburg, MD
- Zip : 20882-4102
- Fax : (301) 368-3258
- Phone : (301) 368-3270
Second Address
- Deborah Lynn Malkovich
- 19522 Doctors Dr
- Germantown, MD
- Zip : 20874-5200
- Fax : (301) 540-8974
- Phone : (301) 540-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D005792 | MD |
National Provider Identifier
| NPI | 1023065943 |
|---|---|
| Provider Name | Deborah Lynn Malkovich |
| First Address | Gaithersburg, MD 20882-4102 |
| Second Address | Germantown, MD 20874-5200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A78066 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.