MEDICARE: DR. DAVID JOSEPH MALEBRANCHE M.D., M.P.H

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	207R00000X	Internal Medicine Physician	209103	NY
2	207R00000X	Internal Medicine Physician	50223	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1649365644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH MALEBRANCHE M.D., M.P.H

Provider Business Mailing Address
First Line	:	171 AUBURN AVE NE UNIT 329
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-2556
Country	:	US
Telephone Number	:	404-291-1739
Fax Number	:	404-756-1237

Provider Business Practice Location Address
First Line	:	1513 CLEVELAND AVE STE 500B
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-6949
Country	:	US
Telephone Number	:	404-756-1241
Fax Number	:	404-756-1237

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/17/2018

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