Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL A. MALAMISURA, MD
Deactivated Sole ProprietorDR. MICHAEL A. MALAMISURA, MD is a Gastroenterology healthcare provider located in BLUEFIELD, West Virginia. NPI 1134161029 is deactivated in the NPPES registry. Verify at CMS.
Gastroenterology · BLUEFIELD, WV
This NPI has been deactivated.
The record was deactivated on April 4, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1134161029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (12.81095890411 yrs)
- Last Updated
- Mar 7, 2023
- Deactivated
- Apr 4, 2019
- Licenses
-
11940 (WV)11940 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 CHERRY STREETBLUEFIELD, WV, 247019999Browse WV providers · Browse ZIP 24701
- Phone
- 3043253666
- Fax
- 3043272497
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.