Individual
AISHA MOHSIN MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 3RD AVENUE WEST, SUITE 110, BRADENTON, FL 34205
(941) 746-3115
(941) 746-3201
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(941) 746-3115
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2008012158
MO
2084N0400X
Neurology Physician
Primary
ME135726
FL
Other
Enumeration date
09/23/2008
Last updated
06/04/2018
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