MEDICARE: FATEMA MALBARI 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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	249235	NY
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	R3906	TX

General Provider Information

NPI Number	:	1306075478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATEMA MALBARI MD

Provider Business Mailing Address
First Line	:	6701 FANNIN ST STE 1250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2612
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST STE 950
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2611
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

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

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	11/30/2022

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