Provider Demographics
NPI:1710322573
Name:MALAFA, BUSAYO (MD)
Entity Type:Individual
Prefix:DR
First Name:BUSAYO
Middle Name:
Last Name:MALAFA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BUSAYO
Other - Middle Name:BUKOLA
Other - Last Name:IROJAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1779 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2632
Mailing Address - Country:US
Mailing Address - Phone:717-815-2700
Mailing Address - Fax:
Practice Address - Street 1:1779 5TH AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2632
Practice Address - Country:US
Practice Address - Phone:717-815-2700
Practice Address - Fax:717-815-2619
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT203543208600000X
PAMD474167208600000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery