Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 227815 | MA |
NPI | 1356302913 |
---|---|
Provider Name | Dr. Sayeed K. Malek |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 23/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069645 | MEDICARE ID (01) | MA |
100819626 | (05) | MA |
100819626 | (05) | PA |
H83820 | (02) |