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Individual
DR. LALARUKH MALIK
Active
Individual
DR. LALARUKH MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0066741
MD
207Q00000X
Family Medicine Physician
T4422
TX
208D00000X
General Practice Physician
D0066741
MD
261QP2300X
Primary Care Clinic/Center
Primary
D0066741
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
102418840 0001
—
PA
05
—
102418840 0002
—
PA
01
—
1586628
GATEWAY
PA
01
—
25-1716306
SOUTH CENTRAL PREFERRED
PA
05
—
414346900
—
MD
01
—
50091891
CAPITAL BLUECROSS
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MA2146426
HIGHMARK BLUESHIELD
PA
01
—
MD439082
LICENSE
PA
01
—
P00804834
RAILROAD MEDICARE
PA
Enumeration date
05/17/2007
Last updated
06/09/2026
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