# GEORGE S. MALOUF, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Malouf Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124010962
- **Authorized official:** MRS. JENNIFER SUDAMA (OFFICE MANAGER)
- **Authorized official phone:** (301) 423-5252

## Contact information

- **Practice address:** 4400 TELFAIR BLVD STE D, CAMP SPRINGS, MD 20746-5217
- **Practice address phone:** (301) 423-5252
- **Practice address fax:** (301) 423-2414
- **Mailing address:** 4400 TELFAIR BLVD STE D, CAMP SPRINGS, MD 20746-5217
- **Mailing address phone:** (301) 423-5252
- **Mailing address fax:** (301) 423-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2294 | BCBS | DC |
| 05 | — | 984031101 | — | MD |
| 01 | — | KW77GE | BCBS | MD |