Kenneth Lester Malamud, M.D.
Individual provider Active NPI Ophthalmology Physician · Burnet, TX
NPI 1659524007 · NPPES record last updated Sep 16, 2009
Key facts
- NPI
- 1659524007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- G1707 (TX)
- Practice address
- 1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329 - Phone
- (512) 715-3937
- Fax
- (512) 715-3938
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G1707 | TX | Yes |
Addresses
Primary practice location
1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329
Mailing address
1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329
Phone (512) 715-3937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659524007 | Other | NPI |
Other providers in Burnet, TX
- David L. Lindzey
- John Baptiste Litterer
- Lone Star ABA Services LLC
- Victoria Long
- Abny Luberis
- John Mark Marrs
- Karen Elizabeth Matcek
- Ronald Matlock II
- Michael David Matthews
- Robert Allen McClimans Jr.
All providers in Burnet, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.