| Aleksander Ivanovich Malakhov, MD | |
|
Highway 411 South, Benton, TN 37307-0308 | |
| (423) 338-2831 | |
| (423) 338-2833 |
| Full Name | Aleksander Ivanovich Malakhov |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Highway 411 South, Benton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780797035 | NPI | - | NPPES |
| 3879621 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36698 (Tennessee) | Primary |
| Entity Name | Ocoee Regional Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902010770 PECOS PAC ID: 1355233693 Enrollment ID: O20040412001630 |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksander Ivanovich Malakhov, MD Highway 411 South, Benton, TN 37307-0308 Ph: (423) 338-2831 | Aleksander Ivanovich Malakhov, MD Highway 411 South, Benton, TN 37307-0308 Ph: (423) 338-2831 |
Dr. Victoria L Kinsey, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-472-2273 Fax: 423-472-2737 | |
Mrs. Jovonna R Riggins, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 Fax: 423-338-2833 | |
Mrs. Patricia Ann Pagan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 108 Lifestyle Way, Benton, TN 37307 Phone: 423-338-7777 Fax: 423-338-9326 |