Individual
FAHAD IMTIAZ MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 772-0639
Mailing address
40 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38624
AL
208M00000X
Hospitalist Physician
Primary
305406
NY
Other
Enumeration date
04/22/2016
Last updated
03/27/2025
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