Provider Demographics
NPI:1134279524
Name:MALEK, SABRI E (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRI
Middle Name:E
Last Name:MALEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KHAMIS
Other - Middle Name:B
Other - Last Name:ELSHENAWY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 949
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-0949
Mailing Address - Country:US
Mailing Address - Phone:626-345-9735
Mailing Address - Fax:626-345-9739
Practice Address - Street 1:1575 N LAKE AVE
Practice Address - Street 2:STE 100
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2340
Practice Address - Country:US
Practice Address - Phone:626-345-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89836207LP2900X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1023450947Medicaid
CACB205156Medicare PIN