Provider Demographics
NPI:1851476790
Name:DORDANEH MALEKI, LLC
Entity Type:Organization
Organization Name:DORDANEH MALEKI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTENOLOGY & INTERNAL MEDICIN
Authorized Official - Prefix:DR
Authorized Official - First Name:DORDANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:609-927-3888
Mailing Address - Street 1:2106 NEW RD UNIT D5
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1050
Mailing Address - Country:US
Mailing Address - Phone:609-927-3888
Mailing Address - Fax:609-927-3988
Practice Address - Street 1:2106 NEW RD UNIT D5
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221
Practice Address - Country:US
Practice Address - Phone:609-927-3888
Practice Address - Fax:609-927-3988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05878700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty