Malak, Osama A

Malak, Osama A is an individual health care provider with primary practice located at 4804 Leavitt Rd , Lorain OH 44053-2382. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Malak, Osama A can be contacted via phone (440) 989-2066.

Contact Information

Primary practice address
4804 Leavitt Rd Lorain OH 44053-2382
Phone: (440) 989-2066
Fax: (440) 989-1153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-07-4704-M Ohio

Profile Details

NPI number 1245218775
LBN Legal business name Malak, Osama A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Feb 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245218775 NPPES
Ohio Other 9482793 CIGNA
Ohio Other WELLCARE CIGNA
Ohio Other 102875 CIGNA
Ohio Other 000000384379 CIGNA
Ohio Other P00322841 CIGNA
Ohio MEDICAID 2132936 CIGNA
Ohio Other 341961205029 CIGNA
Ohio Other 7848067 CIGNA

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