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Individual

DR. JAVAID A MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1711 27TH ST STE 102, PORTSMOUTH, OH 45662-2657
(740) 356-1709
(740) 356-3027
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(403) 537-9007

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
271685
NY
207L00000X
Anesthesiology Physician
35.120658
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
271685
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD423112
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
35.120658
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03530458
NY
05
1011409110003
PA
05
1011409110004
PA
Enumeration date
05/03/2006
Last updated
07/02/2025
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