Individual
EMAD FOUAD MASSOUD MALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Mailing address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
069513
GA
207R00000X
Internal Medicine Physician
2008-01324
NC
208M00000X
Hospitalist Physician
Primary
2008-01324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133073C
—
GA
05
—
1063693182
—
NC
05
—
Q0132P
—
SC
Enumeration date
11/16/2007
Last updated
04/06/2026
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