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Individual
DR. SHAISTA MALIK
Active
Individual
DR. SHAISTA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54505
MN
207Q00000X
Family Medicine Physician
ME102532
FL
2083P0901X
Public Health & General Preventive Medicine Physician
54505
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME102532
FLORIDA LICENSE
FL
Enumeration date
09/14/2006
Last updated
02/29/2024
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