| Organization Name: | TAJ A. MALIK DPM PC INC |
| NPI Number: | 1205197910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAJ A MALIK (PRESIDENT) |
| Mailing Address: | 5 Severance Cir 701 Cleveland Heights |
| State: | OH US |
| Postal Code: | 441181566 |
| Phone Number: | 2163970999 |
| Fax Number: | 2163970983 |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |