Malaka, Shaunn Dominique

Malaka, Shaunn Dominique is an individual health care provider with primary practice located at 14904 Jefferson Davis Hwy Ste 105, Woodbridge VA 22191-3908. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Malaka, Shaunn Dominique can be contacted via phone (703) 490-8171.

Contact Information

Primary practice address
14904 Jefferson Davis Hwy Ste 105 Woodbridge VA 22191-3908
Phone: (703) 490-8171
Fax: (703) 490-8172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 684 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01481 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1000072 District of Columbia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301025 Virginia

Profile Details

NPI number 1770724148
LBN Legal business name Malaka, Shaunn Dominique
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Jan 11th, 2018 - about 6 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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