Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD21030 | DC |
NPI | 1023061876 |
---|---|
Provider Name | Vera Malkovska |
First Address | Washington, DC 20010-2976 |
Second Address | Washington, DC 20010-2976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 25/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010138876 | (05) | VA |
025662700 | (05) | DC |
222981100 | (05) | MD |
E89043 | (02) | DC |