Provider Demographics
NPI:1710914239
Name:MALAPIRA, AMELITO (MD)
Entity Type:Individual
Prefix:DR
First Name:AMELITO
Middle Name:
Last Name:MALAPIRA
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 1:1950 GLENN MITCHELL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0019
Mailing Address - Country:US
Mailing Address - Phone:757-507-0600
Mailing Address - Fax:757-689-3785
Practice Address - Street 1:1950 GLENN MITCHELL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0019
Practice Address - Country:US
Practice Address - Phone:757-507-0600
Practice Address - Fax:757-689-3785
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME016027174400000X
VA01012453722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME327420099Medicaid
VA020660S33Medicare UPIN
MEMM9744Medicare ID - Type Unspecified
ME327420099Medicaid