Provider Demographics
NPI:1376657106
Name:RAMON M. MALAYA JR., M.D. INC.
Entity Type:Organization
Organization Name:RAMON M. MALAYA JR., M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALAYA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:419-228-1535
Mailing Address - Street 1:830 W HIGH ST
Mailing Address - Street 2:SUITE 255
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3971
Mailing Address - Country:US
Mailing Address - Phone:419-228-1535
Mailing Address - Fax:419-228-1410
Practice Address - Street 1:830 W HIGH ST
Practice Address - Street 2:SUITE 255
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3971
Practice Address - Country:US
Practice Address - Phone:419-228-1535
Practice Address - Fax:419-228-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073860M208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty