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NPI 1336768266 · live from the CMS NPI Registry

Ryan Alexxander Malave, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Providence, RI. National Provider Identifier 1336768266, active.

NPI record

NPI1336768266 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X
Practice location335r Prairie Ave Ste 1a, Providence, RI 02905
Practice phone401-444-5685
Mailing address15 La Salle Sq, Providence, RI 02903
EnumeratedApril 10, 2020
Last updatedMay 29, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X2025012285 (MO)
Student in an Organized Health Care Education/Training Program390200000X—
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary2084N0402XMD21339 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.