Provider Demographics
NPI:1700061934
Name:MALAYAMAN, NAVARA (MD)
Entity Type:Individual
Prefix:
First Name:NAVARA
Middle Name:
Last Name:MALAYAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SAINT PAUL PL
Mailing Address - Street 2:BURK BUILDING, 3RD FLOOR, SUITE E312
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-332-9359
Mailing Address - Fax:410-962-8393
Practice Address - Street 1:301 SAINT PAUL PL
Practice Address - Street 2:BURK BUILDING, 3RD FLOOR, SUITE E312
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-9359
Practice Address - Fax:410-962-8393
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine