Healthcare Provider Details

I. General information

NPI: 1275982845
Provider Name (Legal Business Name): ADIL JUSTIN MALEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3686 GRANDVIEW PKWY STE 400
BIRMINGHAM AL
35243-3404
US

IV. Provider business mailing address

1365 CLIFTON RD NE FL 4
ATLANTA GA
30322-1013
US

V. Phone/Fax

Practice location:
  • Phone: 205-595-8985
  • Fax: 205-595-8987
Mailing address:
  • Phone: 404-778-3712
  • Fax: 404-778-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number45786
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: