Individual
TYRONDA ELLIOTT MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 E 31ST ST, WING OA2 - ROOM 5, OAKLAND, CA 94602
(104) 374-8005
Mailing address
1411 E 31ST ST, WING OA2, ROOM 5, OAKLAND, CA 94602
(105) 437-4800
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A126934
CA
207RP1001X
Pulmonary Disease Physician
Primary
A126934
CA
Other
Enumeration date
01/27/2011
Last updated
04/19/2023
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