Provider Demographics
NPI:1861411019
Name:MALEQUE, NOBLE M (MD)
Entity type:Individual
Prefix:
First Name:NOBLE
Middle Name:M
Last Name:MALEQUE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:EMORY UNIVERSITY HOSPITAL MIDTOWN - HOSPTIAL MEDICINE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-686-6730
Mailing Address - Fax:404-778-5495
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:EMORY CRAWFORD LONG HOSPTIAL - HOSPTIAL MEDICINE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-686-6730
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-09-12
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Provider Licenses
StateLicense IDTaxonomies
GA055275208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI00967Medicare UPIN