Jubil Malieckal, md
Internal Medicine, Nephrology in Brooklyn, NY. Individual provider (NPI-1).
NPI number1497979751
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1497979751
- Entity type
- Individual (NPI-1)
- Name
- Jubil Malieckal
- Credential
- md
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 136676 | NY | Yes |
Practice location
242 Dekalb AveBrooklyn, NY 11205-4118
Phone 718-789-7100 · Fax 718-399-7155
Mailing address
242 Dekalb AveBrooklyn, NY 11205-4118
Phone 718-789-7100 · Fax 718-399-7155
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