Individual
ABDUL MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SISTER PIERRE DRIVE, SUITE 403, TOWSON, MD 21204
(410) 823-6408
(443) 279-0537
Mailing address
120 SISTER PIERRE DRIVE, SUITE 403, TOWSON, MD 21204
(410) 823-6408
(443) 279-0537
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D20747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011
BSDC
—
01
—
001742
VAL
—
01
—
028214000
MAGE
—
01
—
1509543
UNHC
—
01
—
150N132G
MEMD
—
01
—
166155
MHN
—
01
—
226282
KAIS GROUP #
—
01
—
252450
COMP GROUP #
—
01
—
253621
COMP
—
01
—
34040003
BSMD
—
01
—
608189300
OWCP
—
01
—
61206B
MAMS
—
01
—
67803
CIGN GROUP #
—
01
—
705BPS
BSMD GROUP #
—
01
—
979011003
MAMD
—
01
—
K452
BSDC GROUP #
—
01
—
PVPB121879
APS
—
Enumeration date
07/07/2006
Last updated
06/21/2013
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