MEDICARE: DR. SHAHIRA SHAFIK ABDEL-MALEK 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
1	208000000X	Pediatrics Physician	A36609	CA

General Provider Information

NPI Number	:	1295832277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHIRA SHAFIK ABDEL-MALEK MD

Provider Business Mailing Address
First Line	:	3100 E FLORENCE AVE
Second Line	:	#1
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5848
Country	:	US
Telephone Number	:	323-583-4115
Fax Number	:	323-584-9089

Provider Business Practice Location Address
First Line	:	3100 E FLORENCE AVE
Second Line	:	#1
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5848
Country	:	US
Telephone Number	:	323-583-4115
Fax Number	:	323-584-9089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/24/2015

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