Sheldon D Malcolm, DO
Family Medicine in Providence, Rhode Island
1104054261- Practice location
- 355 Prairie Ave, Providence, RI 02905
- Phone
- 401-444-0570
- Fax
- 401-444-0427
- Last updated
- May 7, 2019
Sheldon D. E. Malcolm is a Family Medicine based in Providence, RI. Sheldon D. E. Malcolm practices in Providence, RI and has the professional credentials of DO. The NPI Number for Sheldon D. E. Malcolm is 1104054261 and holds a License No. 254236 (MA). The current practice location address for Sheldon D. E. Malcolm is 355 Prairie Ave, Providence, RI 02905 and can be reached out via phone at 401-444-0570 and via fax at 401-444-0427.
Provider Profile Details
- NPI Number
- 1104054261
- Provider Name
- Sheldon D. E. Malcolm
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 355 Prairie Ave, Providence, RI 02905
- Phone Number
- 401-444-0570
- Fax Number
- 401-444-0427
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2009
- Last Update Date
- May 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 355 Prairie Ave
Providence, RI 02905 - City
- Providence
- State
- Rhode Island
- Zip
- 02905
- Phone Number
- 401-444-0570
- Fax Number
- 401-444-0427
Provider Business Mailing Address Details
- Address
- 375 Allens Ave
Providence, RI 02905-5010 - City
- Providence
- State
- RI
- Zip
- 02905-5010
- Phone Number
- 401-444-0400
- Fax Number
- 401-444-0468
License Information
- License Number (1)
- 254236
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- DO00835
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sheldon D Malcolm, DO?
The NPI number of Sheldon D Malcolm, DO is 1104054261. It was assigned on June 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Sheldon D Malcolm, DO?
Sheldon D Malcolm, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 254236.
Where does Sheldon D Malcolm, DO practice?
The practice location is 355 Prairie Ave, Providence, RI 02905. The office can be reached at 401-444-0570 (phone) or 401-444-0427 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104054261 directly on the NPPES registry website.