Individual
SAJJAD AHMED MALICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6910
(910) 609-5219
Mailing address
PO BOX 42935, FAYETTEVILLE, NC 28309-2935
(910) 609-6914
(910) 609-5219
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9900923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235K
BCBS
NC
01
—
277846
MAMSI
NC
01
—
3638769
UNITED HEALTHCARE
NC
01
—
5979098
AETNA US HEALTHCARE
NC
01
—
85199
MEDCOST
NC
05
—
891235K
—
NC
Enumeration date
04/12/2006
Last updated
07/08/2007
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