Individual
SHAMIM A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6151 S YALE AVE, LEVEL B, TULSA, OK 74136-1907
(918) 502-6044
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
13949
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091220A
—
OK
05
—
100299400B
—
KS
05
—
132965001
—
AR
05
—
208245019
—
MO
Enumeration date
04/03/2006
Last updated
02/13/2013
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