Individual
DR. MOHAMMAD NOMAN MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(973) 405-1872
Mailing address
1008 SOUTH SPRING ST, DIVISION OF GENERAL INTERNAL MEDICINE, ST LOUIS, MO 63110
(973) 405-1872
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26807
OK
207R00000X
Internal Medicine Physician
2014015794
MO
207R00000X
Internal Medicine Physician
26807
OK
208M00000X
Hospitalist Physician
Primary
2014015794
MO
Other
Enumeration date
05/24/2007
Last updated
01/19/2021
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