Provider Demographics
NPI:1811006182
Name:SAXENA, MALINEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MALINEE
Middle Name:
Last Name:SAXENA
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 1:5565 BLAINE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-1238
Mailing Address - Country:US
Mailing Address - Phone:651-621-8888
Mailing Address - Fax:651-621-8805
Practice Address - Street 1:5565 BLAINE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-1238
Practice Address - Country:US
Practice Address - Phone:651-621-8888
Practice Address - Fax:651-621-8805
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN43566207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1811006182Medicaid
MN1811006182Medicaid