Provider Demographics
NPI:1740369719
Name:SVETLANA MALINSKY, DPM PC
Entity type:Organization
Organization Name:SVETLANA MALINSKY, DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:240-481-3304
Mailing Address - Street 1:11710 VIRGINIA PINE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4303
Mailing Address - Country:US
Mailing Address - Phone:240-481-3304
Mailing Address - Fax:240-474-0242
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:240-481-3304
Practice Address - Fax:301-441-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V01280Medicare UPIN
MDG01616Medicare PIN