Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 01071398A | IN |
N | 207P00000X | Emergency Physician | 2014-01056 | NC |
N | 207P00000X | Emergency Physician | 308061-01 | NY |
Y | 207P00000X | Emergency Physician | DR.0060442 | CO |
N | 207PP0204X | Pediatric Emergency Physician | DR.0060442 | CO |
NPI | 1114152832 |
---|---|
Provider Name | Sarah T Malka |
First Address | Denver, CO 80217-2328 |
Second Address | Lone Tree, CO 80124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1114152832 | (05) | NC |
2014-01056 | NC LICENSE (01) | NC |
NC2155 | (05) | SC |
PENDING | (05) | CO |
PENDING | MEDICARE (01) | CO |