Provider Demographics
NPI:1649296138
Name:BARNES, MALKA (MD)
Entity type:Individual
Prefix:
First Name:MALKA
Middle Name:
Last Name:BARNES
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:PO BOX 261504
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91426-1504
Mailing Address - Country:US
Mailing Address - Phone:818-501-8901
Mailing Address - Fax:818-501-8970
Practice Address - Street 1:16311 VENTURA BLVD STE 745
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4324
Practice Address - Country:US
Practice Address - Phone:818-501-8901
Practice Address - Fax:818-501-8970
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA040491207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology