DR. MALAK TADRES CNP NPI 1477299022

NPI Information

  • NPI: 1477299022
  • Provider Name: DR. MALAK TADRES, CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7018 OPTIMARA DR
    PICKERINGTON, OH
    ZIP 43147
  • Phone: (614) 598-2669

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NPI Details

DR. Malak Tadres, CNP is an acute care nurse practitioner in Pickerington, OH with 5 years of experience. DR. Malak Tadres, CNP NPI is 1477299022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7018 OPTIMARA DR
PICKERINGTON, OH
ZIP 43147-716
Phone: (614) 598-2669

The NPI 1477299022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2022 and was last updated on 5/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareAPRN.CNP.0029909OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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