Provider Demographics
NPI:1194156208
Name:PHILIP MALINAS MD & ASSOCIATES PLLC
Entity type:Organization
Organization Name:PHILIP MALINAS MD & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-440-1520
Mailing Address - Street 1:639 ISBELL RD STE 380
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4982
Mailing Address - Country:US
Mailing Address - Phone:775-440-1520
Mailing Address - Fax:775-451-1870
Practice Address - Street 1:639 ISBELL RD STE 380
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4982
Practice Address - Country:US
Practice Address - Phone:775-440-1520
Practice Address - Fax:775-451-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-29
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV124472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E92955Medicare UPIN