# DR. CHARLES MILES MALISKA III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053467894
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 27745 | OK | — |
| 208600000X | Surgery Physician | 303595 | NY | — |
| 208600000X | Surgery Physician | A99319 | CA | — |
| 208600000X | Surgery Physician | R2163 | TX | — |
| 2086S0102X | Surgical Critical Care Physician | 27745 | OK | — |
| 2086S0102X | Surgical Critical Care Physician | 303595 | NY | — |
| 2086S0102X | Surgical Critical Care Physician | A99319 | CA | — |
| 2086S0102X | Surgical Critical Care Physician | ME150816 | FL | Yes |
| 2086S0102X | Surgical Critical Care Physician | R2163 | TX | — |
| 2086S0127X | Trauma Surgery Physician | 27745 | OK | — |
| 2086S0127X | Trauma Surgery Physician | 303595 | NY | — |
| 2086S0127X | Trauma Surgery Physician | A99319 | CA | — |
| 2086S0127X | Trauma Surgery Physician | R2163 | TX | — |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 06/07/2021