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NPI Code Detail

MEDICARE: MANAL SADAF MALIK MBA

MEDICARE: MANAL SADAF MALIK MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramLA

General Provider Information

NPI Number : 1306791231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANAL SADAF MALIK MBA
Provider Business Mailing Address
First Line : 4217 AVRON BLVD
Second Line :
City : METAIRIE
State : LA
Zip : 70006-1208
Country : US
Telephone Number : 504-276-4571
Fax Number :
Provider Business Practice Location Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-903-6409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ MANAL SADAF MALIK MBA” Practice Location

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