Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEDIDIAH JONAH MALAN, MD
ActiveDR. JEDIDIAH JONAH MALAN, MD is a Diagnostic Radiology healthcare provider located in FAIRBANKS, Alaska. NPI 1396966040 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FAIRBANKS, AK
Registration Details
- NPI Number
- 1396966040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.242942796927 yrs)
- Last Updated
- Oct 7, 2020
- Licenses
-
MD60225585 (WA)6347 (KS)6326 (AK)
Practice Information
- Address
-
815 2ND AVESUITE 202FAIRBANKS, AK, 997014400Browse AK providers · Browse ZIP 99701
- Phone
- 3165197664
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| DR. KEIR ANDREW BEXAR FOWLER | M.D. | 1700991163 |
| MARK NATHAN BURTON | M.D. | 1508970971 |
| JANICE PIN-WANG CHEN | M.D. | 1841305208 |
| RICHARD A. HATTAN | M.D. | 1740395110 |
| THERESA JOANNE SHANLEY | M.D. | 1457466823 |
| DR. JESSICA ELLEN PANKO | M.D | 1366641060 |
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.