| Dr Stanislav Malov, MD | |
|
1500 E Gude Dr, Rockville, MD 20850-5307 | |
| (240) 777-1680 | |
| Not Available |
| Full Name | Dr Stanislav Malov |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Addiction Medicine |
| Location | 1500 E Gude Dr, Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093716854 | NPI | - | NPPES |
| D0055905 | Other | MD | STATE LICENSE NUMBER |
| 485601500 | Medicaid | MD |
| Entity Name | Montgomery County Maryland Government |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104946482 PECOS PAC ID: 4981675477 Enrollment ID: O20040805001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanislav Malov, MD 1500 E Gude Dr, Rockville, MD 20850-5307 Ph: (240) 777-1680 | Dr Stanislav Malov, MD 1500 E Gude Dr, Rockville, MD 20850-5307 Ph: (240) 777-1680 |
Charles Rizzuto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Thomas F Gambon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 | |
Nader E. Soliman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Clyde W Pray, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Research Blvd, 350, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 | |
Toni Ann Hawley, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
John A Tam, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14820 Physicians Ln, 242, Rockville, MD 20850 Phone: 301-838-9606 | |
Dr. Jen-wen Chen, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1901 Research Blvd, 350, Rockville, MD 20850 Phone: 301-838-9606 Fax: 301-838-9029 |