MALONE, ALFRED LASHAWN (MD)

Provider Demographics

• NPI: 1720252315
• Name: MALONE, ALFRED LASHAWN (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: ALFRED
• Middle Name: LASHAWN
• Last Name: MALONE
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 2006 FRANKLIN ST SE
• Mailing Address - Street 2: SUITE 200
• Mailing Address - City: HUNTSVILLE
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35801-4551
• Mailing Address - Country: US
• Mailing Address - Phone: 256-539-0457
• Practice Address - Street 1: 2006 FRANKLIN ST SE
• Practice Address - Street 2: SUITE 200
• Practice Address - City: HUNTSVILLE
• Practice Address - State: AL
• Practice Address - Zip Code: 35801-4551
• Practice Address - Country: US
• Practice Address - Phone: 256-539-0457
• Is Sole Proprietor?: No
• Enumeration Date: 2008-04-15
• Last Update Date: 2023-03-09

Provider Licenses

State	License ID	Taxonomies
NC	200600540	2085R0202X
AL	29935	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	124740	Medicaid
AL	126698	Medicaid
AL	149496	Medicaid
AL	249918	Medicaid
AL	511-14476	Other	BCBS
AL	512-05162	Other	BCBS
AL	228473	Medicaid
AL	247843	Medicaid
AL	511-04908	Other	BCBS
AL	121451	Medicaid
AL	128307	Medicaid
AL	146152	Medicaid
AL	226783	Medicaid
AL	239461	Medicaid
AL	511-04907	Other	BCBS
AL	511-14270	Other	BCBS
AL	512-36120	Other	BCBS
AL	121291	Medicaid
AL	121335	Medicaid
AL	121337	Medicaid
AL	123312	Medicaid
	12368474	Other	CAQH
TN	1520362	Medicaid
AL	190146	Medicaid
AL	248274	Medicaid
AL	250217	Medicaid
AL	121270	Medicaid
AL	238153	Medicaid
AL	247812	Medicaid
AL	511-04904	Other	BCBS
AL	511-04905	Medicaid
AL	511-07684	Other	BCBS
AL	512-36223	Other	BCBS
AL	121277	Medicaid
AL	136251	Medicaid
AL	219502	Medicaid
AL	511-04905	Other	BCBS
AL	121158	Medicaid
AL	122650	Medicaid
AL	159746	Medicaid
AL	227899	Medicaid
TN	4275439	Other	BCBS
AL	511-04903	Other	BCBS
AL	511-23742	Other	BCBS
AL	121271	Medicaid
AL	211217	Medicaid
AL	249915	Medicaid