Provider Demographics
NPI:1164645982
Name:MALEK, MARCEL MANN (MD)
Entity Type:Individual
Prefix:MR
First Name:MARCEL
Middle Name:MANN
Last Name:MALEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8438 E SHEA BLVD
Mailing Address - Street 2:#101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6669
Mailing Address - Country:US
Mailing Address - Phone:480-551-2040
Mailing Address - Fax:
Practice Address - Street 1:8438 E SHEA BLVD
Practice Address - Street 2:#101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6669
Practice Address - Country:US
Practice Address - Phone:480-551-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29577174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist