Individual
RAJUL MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1168 FIRST COLONIAL RD, SUITE 201, VIRGINIA BEACH, VA 23454-2426
(757) 481-1113
(757) 496-3822
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167191
—
VA
01
—
181490
ANTHEM
VA
01
—
541595397
MID ATLANTIC SOLUTIONS
VA
01
—
5559560
AETNA
VA
01
—
99624
SENTARA/OPTIMA
VA
Enumeration date
02/14/2006
Last updated
04/12/2010
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