Provider Demographics
NPI:1831228196
Name:ESRAWI, MALEK (DMD, FICOI,DICOI, PC)
Entity type:Individual
Prefix:DR
First Name:MALEK
Middle Name:
Last Name:ESRAWI
Suffix:
Gender:M
Credentials:DMD, FICOI,DICOI, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 BARNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2929
Mailing Address - Country:US
Mailing Address - Phone:508-771-4044
Mailing Address - Fax:
Practice Address - Street 1:197 BARNSTABLE RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2929
Practice Address - Country:US
Practice Address - Phone:508-771-4044
Practice Address - Fax:508-771-0922
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA193611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice