Individual
ALI SHAUKAT MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2032 SALEM BLUFF DR, WINSTON SALEM, NC 27127-4075
(484) 388-1827
Mailing address
2800 MAIN STREET, DEPT. OF MEDICINE, BRIDGEPORT, CT 06606
(475) 210-5791
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2024-03234
NC
207RR0500X
Rheumatology Physician
RTL20-1126
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
12/02/2024
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