Individual
DR. SHARON MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10701 ROSEMARY DR, KAISER PERMANENTE MANASSAS MEDICAL CENTER, MANASSAS, VA 20109-7282
(703) 257-3000
(703) 257-3134
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235554
VA
207R00000X
Internal Medicine Physician
D0072311
MD
207R00000X
Internal Medicine Physician
MD040039
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010026440
—
VA
01
—
1588721112
NPI
VA
Enumeration date
01/02/2007
Last updated
11/30/2011
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