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NPI Code Detail

MEDICARE: MALIK OSBORNE

MEDICARE: MALIK OSBORNE
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
11041C0700XClinical Social Worker0906017415VA

General Provider Information

NPI Number : 1831044429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALIK OSBORNE
Provider Business Mailing Address
First Line : 530 LOGAN PL APT 10
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23601-3337
Country : US
Telephone Number : 757-947-8419
Fax Number :
Provider Business Practice Location Address
First Line : 501 VILLAGE AVE STE 204
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-5657
Country : US
Telephone Number : 757-947-8419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2026
Last Update Date : 02/28/2026

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Directions to “ MALIK OSBORNE ” Practice Location

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