Provider Demographics
NPI:1689643009
Name:MALEK, RAMZI A (MD)
Entity Type:Individual
Prefix:
First Name:RAMZI
Middle Name:A
Last Name:MALEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 GILBREATH DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-2827
Mailing Address - Country:US
Mailing Address - Phone:205-625-3561
Mailing Address - Fax:205-625-3661
Practice Address - Street 1:150 GILBREATH DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-2827
Practice Address - Country:US
Practice Address - Phone:205-625-3561
Practice Address - Fax:205-625-3661
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2014-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL18130208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF91467Medicare UPIN