Individual
SEAN MALEKNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
615 18TH ST S, BIRMINGHAM, AL 35233-1826
(407) 758-7565
Mailing address
524 10TH CT S, BIRMINGHAM, AL 35205-4533
(407) 758-7565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
65545
FL
Other
Enumeration date
08/20/2014
Last updated
02/17/2020
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