Individual
ASHIMA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8100 BOONE BLVD STE 700, TYSONS, VA 22182-2683
(571) 423-5699
(571) 423-5698
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31688
AL
207RR0500X
Rheumatology Physician
Primary
0101266934
VA
207RR0500X
Rheumatology Physician
31688
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140786
—
AL
01
—
511-28255
BCBS AL
AL
Enumeration date
07/16/2007
Last updated
02/03/2021
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