Doctor Name: | DR. MOHAMMAD S MALIK |
NPI Number: | 1740288620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D26235 |
Business Practice Address: | 8608 Liberty Rd Randallstown, MD - 211334707 |
Business Phone Number: | 4109226900 |
Business Fax Number: | 4109227070 |
Mailing Address: | 9601 Pulaski Park Dr, Suite 416 BALTIMORE |
State: | MD |
Postal Code: | 212201409 |
Phone Number: | 4109335678 |
Fax Number: | 4109331823 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D26235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |