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NPI Code Detail

MEDICARE: IANA MALAKIAN MD

MEDICARE:   IANA  MALAKIAN  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
1207Q00000XFamily Medicine Physician101637GA

General Provider Information

NPI Number : 1164166922
Entity Type Code : Individual
Provider Name (Legal Business Name) : IANA MALAKIAN MD
Provider Business Mailing Address
First Line : 2129 FRIENDSHIP RD STE 200
Second Line :
City : BUFORD
State : GA
Zip : 30519-2600
Country : US
Telephone Number : 770-209-2787
Fax Number : 678-866-2348
Provider Business Practice Location Address
First Line : 2129 FRIENDSHIP RD STE 200
Second Line :
City : BUFORD
State : GA
Zip : 30519-2600
Country : US
Telephone Number : 770-209-2787
Fax Number : 678-866-2348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 12/30/2025

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Directions to “ IANA MALAKIAN MD” Practice Location

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