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NPI Code Detail

MEDICARE: DR. MALAIKA BERKELEY MD

MEDICARE: DR. MALAIKA BERKELEY MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician227915-1NY
22084P0800XPsychiatry Physician057582GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144295536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALAIKA BERKELEY MD
Provider Business Mailing Address
First Line : 201 17TH ST NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30363-1098
Country : US
Telephone Number : 678-538-6422
Fax Number : 678-538-6423
Provider Business Practice Location Address
First Line : 201 17TH ST NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30363-1098
Country : US
Telephone Number : 678-538-6422
Fax Number : 678-538-6423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 06/07/2014

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