Provider Demographics
NPI:1265234488
Name:MALOVANA, ULYANA (DO)
Entity type:Individual
Prefix:
First Name:ULYANA
Middle Name:
Last Name:MALOVANA
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:ULYANA
Other - Middle Name:
Other - Last Name:PROKOPIV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6836 ALDERLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3853
Mailing Address - Country:US
Mailing Address - Phone:248-933-8644
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program