Provider Demographics
NPI:1871315911
Name:MALEKZADEHPSYCHIATRY, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:MALEKZADEHPSYCHIATRY, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT PSYCHIATRIST/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:NGUYEN ALI
Authorized Official - Last Name:MALEKZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:925-233-6931
Mailing Address - Street 1:2120 CONTRA COSTA BLVD # 1164
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3742
Mailing Address - Country:US
Mailing Address - Phone:925-233-6931
Mailing Address - Fax:
Practice Address - Street 1:22 SAINT CLAIRE LN
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1130
Practice Address - Country:US
Practice Address - Phone:925-233-6931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty