Provider Demographics
NPI:1548338221
Name:YAMAN, MALEK M (MD)
Entity type:Individual
Prefix:
First Name:MALEK
Middle Name:M
Last Name:YAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MALEK
Other - Middle Name:M
Other - Last Name:EL YAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CLEVELAND CLINIC CHILDREN'S 9500 EUCLID AVE/M-41
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-7116
Mailing Address - Fax:216-445-3692
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-445-7116
Practice Address - Fax:216-445-3692
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN491342080P0202X
OH1287742080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810016089Medicaid
MN488657000Medicaid
WV3810016089Medicaid
6038611Medicare PIN
MN488657000Medicaid