Individual
DR. RYAN ALEXXANDER MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7571
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2025012285
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD21339
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
05/04/2026
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