Provider Demographics
NPI:1962573139
Name:MALAN, TODD K (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:K
Last Name:MALAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7425 E SHEA BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6411
Mailing Address - Country:US
Mailing Address - Phone:480-998-7999
Mailing Address - Fax:480-998-7970
Practice Address - Street 1:7425 E SHEA BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-998-7999
Practice Address - Fax:480-998-7970
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2008-04-28
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Provider Licenses
StateLicense IDTaxonomies
AZ34046207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ375990Medicaid
AZ375990Medicaid