Individual
SHAHRAM MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 546-1440
(423) 224-3258
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245409
VA
208M00000X
Hospitalist Physician
Primary
0101245409
VA
Other
Enumeration date
08/27/2007
Last updated
03/20/2014
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