Individual
AQSA MUKARRAM MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9015
Mailing address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 456-9015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD474629
PA
2084P0800X
Psychiatry Physician
MT216075
PA
Other
Enumeration date
06/18/2018
Last updated
09/20/2021
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