Individual
DR. STANISLAV MALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E GUDE DR, ROCKVILLE, MD 20850-5307
(240) 777-1680
Mailing address
1500 E GUDE DR, ROCKVILLE, MD 20850-5307
(240) 777-1680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0055905
MD
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
D0055905
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0055905
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485601500
—
MD
01
—
D0055905
STATE LICENSE NUMBER
MD
Enumeration date
08/02/2005
Last updated
09/27/2022
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