Provider Demographics
NPI:1063525988
Name:MALANY, ANDREW MARK (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARK
Last Name:MALANY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2525 E BROADWAY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8049
Mailing Address - Country:US
Mailing Address - Phone:406-457-4366
Mailing Address - Fax:406-457-4369
Practice Address - Street 1:2525 E BROADWAY ST STE 204
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8049
Practice Address - Country:US
Practice Address - Phone:406-457-4366
Practice Address - Fax:406-457-4369
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2019-01-28
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Provider Licenses
StateLicense IDTaxonomies
MT8435207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTF74432Medicare UPIN
MT160043674Medicare PIN