MEDICARE: SHANIKA MALCOLM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174H00000X	Health Educator
2	174N00000X	Lactation Consultant (Non-RN)
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	374J00000X	Doula

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32762349	OTHER	PA	DL

General Provider Information

NPI Number	:	1366938011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIKA MALCOLM

Provider Business Mailing Address
First Line	:	2522 S BELLFORD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1411
Country	:	US
Telephone Number	:	126-726-6132
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 S BELLFORD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1411
Country	:	US
Telephone Number	:	126-726-6132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2018
Last Update Date	:	07/05/2018

Similar Medicare Providers

1154694511 — INSTITUTE OF ETERNAL WELLNESS
Practice Location Address:

2522 S BELLFORD ST
PHILADELPHIA, PA
19153-1411

Practice Phone: 267-266-1320
Practice Fax:

1144095290 — RHAW TRANSPORTATION SERVICES
Practice Location Address:

2518 S BELLFORD ST
PHILADELPHIA, PA
19153-1411

Practice Phone: 302-423-9122
Practice Fax:

1518984608 — BELLARMINO, GIAMPETRO AND SCHEUERMAN, PC
Practice Location Address:

1411 WOLF ST
PHILADELPHIA, PA
19145-3933

Practice Phone: 215-334-8780
Practice Fax: 215-334-1086

1568685378 — MERAKEY CHILDRENS SERVICES
Practice Location Address:

639 E CHURCH LN
PHILADELPHIA, PA
19144-1411

Practice Phone: 215-836-3131
Practice Fax: 215-273-5975

1093995672 — JAVAD ABDOLLAHIAN MD, PC
Practice Location Address:

1411 HARRISON ST
PHILADELPHIA, PA
19124-5932

Practice Phone: 215-289-8832
Practice Fax: 215-289-3497

1235406943 — GEORGE FORD III
Practice Location Address:

2633 N SARTAIN ST
PHILADELPHIA, PA
19133-1411

Practice Phone: 267-528-7569
Practice Fax:

Directions to “ SHANIKA MALCOLM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.