Provider Demographics
NPI:1225007925
Name:MALINOW, LOUIS BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:BARRY
Last Name:MALINOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 QUARRY LAKE DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209
Mailing Address - Country:US
Mailing Address - Phone:410-484-8398
Mailing Address - Fax:410-484-3695
Practice Address - Street 1:2700 QUARRY LAKE DR
Practice Address - Street 2:#290
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209
Practice Address - Country:US
Practice Address - Phone:410-484-8398
Practice Address - Fax:410-484-8398
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD680141200Medicaid
MD522221754OtherTAX I.D.
MDM42173OtherCDS
MDE5910003OtherBFED
MD64506501OtherBSNC
MDD0051896OtherLICENSE
MDD0051896OtherLICENSE
MDE5910003OtherBFED
MD680141200Medicaid