Marcio Henrique Malogolowkin

MD | Pediatric Hematology-Oncology | Male

---

Complete Profile:

Marcio Henrique Malogolowkin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Marcio Henrique Malogolowkin
Credential :	MD
Gender :	Male

Business Address:

Marcio Henrique Malogolowkin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2516 Stockton Blvd Sacramento, CA, 95817-2208 United States
Phone Number :	916-734-2781

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1457451270
NPI Entity Type :	Individual
First Enrolment Date :	22 Sep, 2006
Last Updated On :	17 Mar, 2018

Medicare Participation:

Marcio Henrique Malogolowkin participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3375684590
Medicare Enrollment ID :	I20100111000484
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1982
Accepts Medicare?	Yes. Marcio Henrique Malogolowkin accepts medicare insurance.

Group Practice Association:

Marcio Henrique Malogolowkin is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marcio Henrique Malogolowkin is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Regents Of The Univ Of Ca	3375456619	1268	2279 45th St Sacramento, CA - 958171514	Yes
Regents Of The Univ Of Ca	3375456619	1268	2521 Stockton Blvd Sacramento, CA - 958172207	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marcio Henrique Malogolowkin are as mentioned. Primary taxonomy code for Marcio Henrique Malogolowkin, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	A49278	CA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	57273-20	WI

Legacy Identifiers:

Other legacy medical identifiers of Marcio Henrique Malogolowkin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00A492780	MEDICAID	CA
00A492780 G15	Other	CA	CAL OPTIMA

Other Practice Locations:

Practice Address	City, State	Phone Number
9000 W WISCONSIN AVE, CHILDRENS HOSPITAL OF WISCONSIN MILWAUKEE, WI, 53226-4874 United States	MILWAUKEE, WI	414-955-4170

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2516 Stockton Blvd Sacramento, CA, 95817-2208 United States
Phone Number :	916-734-2781
Fax Number :	916-451-3014

Business Location:

Patients can refer following map for directions to Marcio Henrique Malogolowkin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.