Provider Demographics
NPI:1023570041
Name:PYLES, MALCOLM NEHEMIAH (MD)
Entity Type:Individual
Prefix:
First Name:MALCOLM
Middle Name:NEHEMIAH
Last Name:PYLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MALCOLM
Other - Middle Name:NEHEMIAH
Other - Last Name:PYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MALCOLM P CHELLIAH
Mailing Address - Street 1:2075 W 25TH ST APT 531
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4151
Mailing Address - Country:US
Mailing Address - Phone:216-571-0314
Mailing Address - Fax:
Practice Address - Street 1:1 DANIEL BURNHAM CT STE 350C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-0464
Practice Address - Country:US
Practice Address - Phone:415-771-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA189785207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology