Provider Demographics
NPI:1528822426
Name:ABIT, MALVIS
Entity type:Individual
Prefix:
First Name:MALVIS
Middle Name:
Last Name:ABIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 GRAND BLVD APT 2266
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2655
Mailing Address - Country:US
Mailing Address - Phone:163-099-9489
Mailing Address - Fax:
Practice Address - Street 1:9400 GRAND BLVD APT 2266
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-2655
Practice Address - Country:US
Practice Address - Phone:163-099-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator