Individual
DR. OSAMA A MALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-07-4704-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384379
ANTHEM
OH
01
—
102875
KAISER PERMENENTE
OH
05
—
2132936
—
OH
01
—
341961205029
CARESOURCE
OH
01
—
7848067
AETNA
OH
01
—
9482793
CIGNA
OH
01
—
P00322841
RR MEDICARE
OH
01
—
WELLCARE
352127
OH
Enumeration date
01/04/2006
Last updated
02/28/2013
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