Individual
UMMEKALSOOM RAHMAN MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE RD, STE 311, LAKE SUCCESS, NY 11042-1103
(516) 358-2400
(516) 358-5454
Mailing address
410 LAKEVILLE RD, STE 311, LAKE SUCCESS, NY 11042-1103
(516) 358-2400
(516) 358-5454
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
182743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182743
HIP
NY
01
—
2503643
GHI
NY
01
—
3C1548
PHS
NY
01
—
40Q371
BCBS
NY
01
—
4569862
AETNA
NY
01
—
8725486007
CIGNA
NY
01
—
AA71681
MDNY
NY
01
—
P378916
OXFORD
NY
Enumeration date
05/23/2005
Last updated
09/18/2007
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