Dr Marjan Malek, DDS is a
Dentist based in Berkeley Lake, Georgia. Dr Marjan Malek is licensed to practice in Georgia (license number DN012820) and her current practice location is
4720 Peachtree Industrial Blvd, Suite 302, Berkeley Lake, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 449-1497.
NPI number for Dr Marjan Malek is 1942288063 and her current mailing address is 454 Loridans Dr Ne, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942288063.
Healthcare Provider's Profile
| Full Name | Dr Marjan Malek |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 4720 Peachtree Industrial Blvd, Berkeley Lake, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942288063
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 11/01/2016
Medical Identifiers
Medical identifiers for Dr Marjan Malek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942288063 | NPI | - | NPPES |
| 280388614A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN012820 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marjan Malek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marjan Malek, DDS
454 Loridans Dr Ne,
Atlanta, GA 30342-3406
Ph: (404) 583-3090 | Dr Marjan Malek, DDS
4720 Peachtree Industrial Blvd, Suite 302,
Berkeley Lake, GA 30071-5735
Ph: (770) 449-1497 |
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