Healthcare Provider Details

I. General information

NPI: 1851254833
Provider Name (Legal Business Name): MALOKA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 WOERNER AVE
LEVITTOWN PA
19057-2703
US

IV. Provider business mailing address

4125 WOERNER AVE
LEVITTOWN PA
19057-2703
US

V. Phone/Fax

Practice location:
  • Phone: 646-684-8508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: AHMAD KHALID
Title or Position: OWNER
Credential:
Phone: 646-684-8508