Individual
MAQSOOD AHMAD MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Mailing address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD020363E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD020363E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000035926
BLUE SHIELD
PA
05
—
0006505600001
—
PA
01
—
01160701
KEYSTONE
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110031029
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
18452
GEISINGER HEALTH PLAN
PA
01
—
203010
FEDERAL BLACK LUNG
PA
01
—
50047342
CAPITAL BLUE CROSS
PA
Enumeration date
02/08/2006
Last updated
05/18/2010
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