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

Dr. Omar Ibn Abdul-Malik, PA-C

Individual provider Physician Assistant · NPI 1770786105

Dr. Omar Ibn Abdul-Malik, PA-C is a Physician Assistant in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2007.

Licensed in
DC
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

219 Peabody St NW
Washington, DC 20011-2215
Phone: (202) 549-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-30201 (DC)

Record details

NPI number1770786105
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESApril 16, 2015

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