Provider Demographics
NPI:1356378574
Name:MALEKI, DORDANEH (MD)
Entity type:Individual
Prefix:DR
First Name:DORDANEH
Middle Name:
Last Name:MALEKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 NEW RD
Mailing Address - Street 2:UNIT E2
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1046
Mailing Address - Country:US
Mailing Address - Phone:609-927-3888
Mailing Address - Fax:609-927-3988
Practice Address - Street 1:2106 NEW RD STE 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 58787207RG0100X
PAMD063745L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology