Healthcare Provider Details

I. General information

NPI: 1548338221
Provider Name (Legal Business Name): MALEK M YAMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MALEK M EL YAMAN MD

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195
US

IV. Provider business mailing address

CLEVELAND CLINIC CHILDREN'S 9500 EUCLID AVE/M-41
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-7116
  • Fax: 216-445-3692
Mailing address:
  • Phone: 216-445-7116
  • Fax: 216-445-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number49134
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number128774
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: