Provider Demographics
NPI:1609848233
Name:MALINAK, CHRISTA MARIE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:MARIE
Last Name:MALINAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 STOOPS DR STE 320
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-3553
Mailing Address - Country:US
Mailing Address - Phone:724-565-5393
Mailing Address - Fax:724-565-5946
Practice Address - Street 1:100 STOOPS DR STE 320
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3553
Practice Address - Country:US
Practice Address - Phone:724-565-5393
Practice Address - Fax:724-565-5393
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073457L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1855713Medicaid
PAH46598Medicare UPIN
PA1855713Medicaid