Individual
FAHIM AHMED MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 CALIFORNIA AVE, AVALON, PA 15202-2706
(412) 766-3232
(412) 766-1306
Mailing address
824 CALIFORNIA AVE, AVALON, PA 15202-2706
(412) 766-3232
(412) 766-1306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD443906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102647656
—
PA
01
—
1155757
CIGNA
PA
Enumeration date
06/05/2007
Last updated
12/14/2011
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