Individual
ATHER ASHFAQUE MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 ROOSEVELT RD STE 203, VALPARAISO, IN 46383-2802
(219) 464-2106
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005830A
IN
207Q00000X
Family Medicine Physician
036.114338
IL
207Q00000X
Family Medicine Physician
036114338
IL
207Q00000X
Family Medicine Physician
336075335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114338
—
IL
05
—
300036009
—
IN
Enumeration date
02/03/2006
Last updated
01/13/2023
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