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NPI Code Detail

MEDICARE: DR. SHERIF MALEK D.O.

MEDICARE: DR. SHERIF MALEK D.O.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician03410KY
2207V00000XObstetrics & Gynecology Physician03410KY
3207P00000XEmergency Medicine Physician03410KY

General Provider Information

NPI Number : 1265548127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERIF MALEK D.O.
Provider Business Mailing Address
First Line : 5 FOREST HILLS CT
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2233
Country : US
Telephone Number : 706-491-5172
Fax Number :
Provider Business Practice Location Address
First Line : 540 JETT DR
Second Line :
City : JACKSON
State : KY
Zip : 41339-9622
Country : US
Telephone Number : 606-666-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 03/25/2025

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