Abdul-Malik, Omar Ibn

Abdul-Malik, Omar Ibn is an individual health care provider with primary practice located at 219 Peabody St Nw , Washington DC 20011-2215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Abdul-Malik, Omar Ibn can be contacted via phone (202) 549-7136.

Contact Information

Primary practice address
219 Peabody St Nw Washington DC 20011-2215
Phone: (202) 549-7136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-30201 District of Columbia

Profile Details

NPI number 1770786105
LBN Legal business name Abdul-Malik, Omar Ibn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Apr 16th, 2015 - about 9 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 1770786105 NPPES
District of Columbia Other PA-30201 PHYSICIAN ASSISTANT

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