Isaac, Malak K

Isaac, Malak K is an individual health care provider with primary practice located at 5895 Trinity Pkwy Ste 100 , Centreville VA 20120-1996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Isaac, Malak K can be contacted via phone (703) 825-1401.

Contact Information

Primary practice address
5895 Trinity Pkwy Ste 100 Centreville VA 20120-1996
Phone: (703) 825-1401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D008020 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101240385 Virginia

Profile Details

NPI number 1922130228
LBN Legal business name Isaac, Malak K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 5th, 2023 - about last year

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 1922130228 NPPES
Virginia MEDICAID 1922130228

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