Provider Demographics
NPI:1235438037
Name:PERSAD, MALINI DEVI (MD/MPH)
Entity Type:Individual
Prefix:DR
First Name:MALINI
Middle Name:DEVI
Last Name:PERSAD
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES
Mailing Address - Street 2:19 BRADHURST AVENUE, SUITE 3100N
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532
Mailing Address - Country:US
Mailing Address - Phone:914-909-9018
Mailing Address - Fax:914-909-9028
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES
Practice Address - Street 2:19 BRADHURST AVENUE, SUITE 3750S
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-909-9018
Practice Address - Fax:914-909-9028
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468393207V00000X, 207VM0101X
NY278397207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1036911940001Medicaid