1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Radiology
  6. NPI Profile

DR. JEDIDIAH JONAH MALAN MD
NPI 1396966040
Radiology - Diagnostic Radiology in Fairbanks, AK

Active since May 01, 2007
815 2ND AVE, SUITE 202, FAIRBANKS, AK 99701(316) 519-7664 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2020, Dec 4, 2019 (2 updates tracked since 2019).

About Dr. Jedidiah Jonah Malan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEDIDIAH JONAH MALAN MD (NPI 1396966040) is an individual diagnostic radiology provider in Fairbanks, Alaska, licensed in Alaska (6326) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396966040
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JEDIDIAH JONAH MALANCredential: MD
Location Address815 2ND AVE, SUITE 202Fairbanks, AK 99701-4400
Mailing AddressAlaska Radiology Associates, 3650 Piper St, Ste AAnchorage, AK 99508 · (316) 519-7664
Phone(316) 519-7664
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1396966040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in AK · 6326✔ Licensed in WA · MD60225585✔ Licensed in KS · 6347
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

815 2ND AVE, Fairbanks, AK 99701
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY COMEAU N.D.
Naturopath
815 2ND AVE, SUITE 112
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 479-4400
NICOLE ELIZABETH SHARPE
Registered Nurse
815 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-0852
MRS. YOLANDA T EASAW-FAVOR LCSW
Social Worker (Clinical)
815 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 378-5009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedidiah Malan's NPI number?

The NPI number for Jedidiah Malan is 1396966040. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Jedidiah Malan located?

Jedidiah Malan practices at 815 2nd Ave Suite 202, Fairbanks, AK 99701. The listed phone number is (316) 519-7664.

What is Jedidiah Malan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jedidiah Malan was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.