Provider Demographics
NPI:1255409603
Name:MALATI, NABIL FEKRY (MD)
Entity type:Individual
Prefix:DR
First Name:NABIL
Middle Name:FEKRY
Last Name:MALATI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:PPQA MEDICARE COMPLIANCE UNIT 6 WEST
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:43480 YUKON DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6821
Practice Address - Country:US
Practice Address - Phone:571-252-6000
Practice Address - Fax:571-252-6011
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2011-11-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101047869208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H36590Medicare UPIN
007274M92Medicare ID - Type Unspecified