Individual
DR. BRENDAN RAJESH MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Mailing address
6901 SIMMONS LOOP FL 4, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME122184
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2012
Last updated
07/07/2022
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