Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Malcolm Velasco, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174100283

Dr. Malcolm Velasco, MD is a Student in an Organized Health Care Education/Training Program in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 98788 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174100283
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address531 Asbury Cir Ste N340, Atlanta, GA 30322-1006

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