Latisha M Malcom M.D.

  • NPI 1114999430
According to our database, the NPI number for Latisha M Malcom M.D. is 1114999430 and activated since 18 years ago. Latisha M Malcom M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 6455 Gratiot Ave, Detroit, MI 48207. You can also contact Latisha M Malcom M.D. via telephone number is (313) 921-8600. Provider NPI information was last updated on 05/12/2011.

Recently Active NPIs

Overview of Latisha M Malcom M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/02/2006
  • Last updated: 05/12/2011

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 4301070929
  • License State: MI

Provider Mailing Address

  • Address: 28801 Plymouth Rd
    Livonia, MI 48150
  • Phone: 734-266-2780
  • Fax: 734-466-9615

Provider Practice Location

  • Address: 6455 Gratiot Ave
    Detroit, MI 48207
  • Phone: 313-921-8600
  • Fax: 313-921-1712

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 4301070929
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 4604232-10
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Latisha M Malcom M.D.?
  • A: The npi number for Latisha M Malcom M.D. is 1114999430.
  • Q: What are Latisha M Malcom M.D.'s specialties?
  • A: Latisha M Malcom M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Latisha M Malcom M.D.?
  • A: The medical license number for Latisha M Malcom M.D. is 4301070929 and issued in MI in USA.
  • Q: Where is Latisha M Malcom M.D. practice location?
  • A: Latisha M Malcom M.D. is practicing at 6455 Gratiot Ave, Detroit, MI 48207.
  • Q: How to contact Latisha M Malcom M.D.?
  • A: You can contact Latisha M Malcom M.D. via 313-921-8600.