Provider Demographics
NPI:1720284268
Name:CHADSEY, MALINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALINDA
Middle Name:
Last Name:CHADSEY
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 1:309 S EDLINE
Mailing Address - Street 2:
Mailing Address - City:ALTHEIMER
Mailing Address - State:AR
Mailing Address - Zip Code:72004-8559
Mailing Address - Country:US
Mailing Address - Phone:870-766-8411
Mailing Address - Fax:
Practice Address - Street 1:309 S EDLINE
Practice Address - Street 2:
Practice Address - City:ALTHEIMER
Practice Address - State:AR
Practice Address - Zip Code:72004-8559
Practice Address - Country:US
Practice Address - Phone:870-766-8411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine