Provider Demographics
NPI:1447534037
Name:ABED AL MALAK, NOHAD
Entity type:Individual
Prefix:DR
First Name:NOHAD
Middle Name:
Last Name:ABED AL MALAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 PERSHING DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94129-1248
Mailing Address - Country:US
Mailing Address - Phone:415-513-8984
Mailing Address - Fax:
Practice Address - Street 1:3601 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1701
Practice Address - Country:US
Practice Address - Phone:415-668-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 64007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist