Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALIK ELIJAH MATHEWS
Active Sole ProprietorVan Provider · NEWPORT NEWS, VA
Registration Details
- NPI Number
- 1467961797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2017 (8.5953649540909 yrs)
- Last Updated
- Jul 21, 2022
- License
-
T68108668 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
761 ADAMS DR APT 8ANEWPORT NEWS, VA, 236012624Browse VA providers · Browse ZIP 23601
- Phone
- 7579020933
- Primary Specialty
-
Van Provider
344600000X
Other Van Provider Providers in NEWPORT NEWS, VA
| Name | Credential | NPI |
|---|---|---|
| ANTUANE DEWAYNE LOMAX | — | 1992235501 |
| KWELI JEURI HALL | — | 1063379568 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.