Adib, Malak S

Adib, Malak S is an individual health care provider with primary practice located at 500 Lincoln Park Blvd Suite 110, Kettering OH 45429-3492. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adib, Malak S can be contacted via phone (937) 531-5020.

Contact Information

Primary practice address
500 Lincoln Park Blvd Suite 110 Kettering OH 45429-3492
Fax: (937) 298-4385
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35070170S Ohio

Profile Details

NPI number 1679538557
LBN Legal business name Adib, Malak S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 13th, 2020 - about 4 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 1679538557 NPPES
Ohio MEDICAID 2012495

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