| Jubil Malieckal MD PC | |
|
242 Dekalb Ave Brooklyn NY 11205-4118 | |
| (718) 789-7100 | |
| (718) 789-7101 |
| Full Name | Jubil Malieckal MD PC |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 242 Dekalb Ave, Brooklyn, New York |
| Authorized Official Name and Position | Jubil Malieckal (PRESIDENT) |
| Authorized Official Contact | 7187897100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jubil Malieckal MD PC 242 Dekalb Ave Brooklyn NY 11205-4118 Ph: (718) 789-7100 | Jubil Malieckal MD PC 242 Dekalb Ave Brooklyn NY 11205-4118 Ph: (718) 789-7100 |
| NPI Number | 1366731614 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366731614 | NPI | - | NPPES |
| 00736732 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 136676 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 136676 (New York) | Primary |
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