IndividualActive
Fadi Malak, DPM
NPI 1730275355 · Podiatrist · Roseburg, OR
Provider details
- NPI number
- 1730275355
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00229 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97470-6523
Phone: (541) 440-1000
Fax: (541) 440-1343
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 126
Winchester, OR 97495-0126
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.