Provider Demographics
NPI:1568209930
Name:ALMALAHI, ATEIK
Entity type:Individual
Prefix:
First Name:ATEIK
Middle Name:
Last Name:ALMALAHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 YORK RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-8823
Mailing Address - Country:US
Mailing Address - Phone:260-715-1311
Mailing Address - Fax:
Practice Address - Street 1:2012 YORK RIDGE PL
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-8823
Practice Address - Country:US
Practice Address - Phone:260-715-1311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program