Provider Demographics
NPI:1972594554
Name:MALINSKY, SVETLANA (DPM)
Entity type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:
Last Name:MALINSKY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9801 GREENBELT RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6227
Mailing Address - Country:US
Mailing Address - Phone:301-288-1346
Mailing Address - Fax:301-441-9233
Practice Address - Street 1:9801 GREENBELT RD STE 210
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6227
Practice Address - Country:US
Practice Address - Phone:301-288-1346
Practice Address - Fax:301-441-9233
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01406213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406461500Medicaid
MD406461500Medicaid