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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FADI ELIAS MALAK, DPM

Active Sole Proprietor

DR. FADI ELIAS MALAK, DPM is a Podiatrist healthcare provider located in ROSEBURG, Oregon. NPI 1730275355 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · ROSEBURG, OR

Registration Details

NPI Number
1730275355
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.831424520411 yrs)
Last Updated
Jul 8, 2007
License
00229 (OR)
Sole Proprietor
Yes

Practice Information

Address
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR, 974706523
Browse OR providers · Browse ZIP 97470
Phone
5414401000
Fax
5414401343
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in ROSEBURG, OR

Name Credential NPI
KASH K. SIEPERT D.P.M. 1689677031
G JASON WILKS DPM 1316006539
NATHANIEL KEPLINGER DPM 1720491046
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.