Individual
SAFIULLAH M MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1584811
NY
2086S0129X
Vascular Surgery Physician
1584811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000500459D01
COMMUNITY BLUE
NY
05
—
00891603
—
NY
01
—
10109701
UNIVERA
NY
Enumeration date
10/17/2006
Last updated
12/26/2012
Update your record
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