Individual
MALAK K ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5895 TRINITY PKWY STE 100, CENTREVILLE, VA 20120-1996
(703) 825-1401
Mailing address
5895 TRINITY PKWY STE 100, CENTREVILLE, VA 20120-1996
(703) 825-1401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240385
VA
207Q00000X
Family Medicine Physician
D008020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922130228
—
VA
Enumeration date
03/12/2007
Last updated
03/05/2023
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