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Individual

DR. ALAN ROY MALOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17000 SCIENCE DR STE 108, BOWIE, MD 20715-4431
(301) 805-9200
(301) 805-9632
Mailing address
17000 SCIENCE DR, STE 108, BOWIE, MD 20715-4431
(301) 805-9200
(301) 805-9632

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0034462
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180023952
RAILROAD MEDICARE ID#
MD
01
20432
MAMSI INDIVIDUAL ID#
MD
01
22940002
BCBS DC INDIVIDUAL ID#
DC
01
40301606
BCBS MD INDIVIDUAL ID#
MD
01
465210
AETNA INDIVIDUAL ID#
MD
01
492828
HEALTHLINK/NCPPO ID#
MD
01
776378
UNITED HEALTHCARE ID#
MD
01
KW77GE
BCBS MD GROUP ID#
MD
Enumeration date
08/18/2005
Last updated
04/06/2023
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