Malak, Fadi Elias

Malak, Fadi Elias is an sole proprietor health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97470-6523. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Malak, Fadi Elias can be contacted via phone (541) 440-1000.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97470-6523
Fax: (541) 440-1343
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00229 Oregon

Profile Details

NPI number 1730275355
LBN Legal business name Malak, Fadi Elias
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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