Healthcare Provider Details

I. General information

NPI: 1699386151
Provider Name (Legal Business Name): MALEK MEDICAL CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST
DETROIT MI
48201-2153
US

IV. Provider business mailing address

39555 ORCHARD HILL PL STE 600
NOVI MI
48375-5381
US

V. Phone/Fax

Practice location:
  • Phone: 248-621-4581
  • Fax: 248-621-4582
Mailing address:
  • Phone: 248-621-4581
  • Fax: 248-621-4582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BILAL TAREK MALEK
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 248-621-4581