Individual
DR. CARLOS G MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0100
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29722
WV
208600000X
Surgery Physician
48574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100380620
—
KY
Enumeration date
01/08/2007
Last updated
09/28/2023
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