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Individual
EBAAD MALICK
Active
Individual
EBAAD MALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275185
VA
207Q00000X
Family Medicine Physician
MT221644
PA
208VP0000X
Pain Medicine Physician
Primary
D0098698
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
07/24/2026
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