Individual
DR. INDU BALA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 COMMERCIAL AVE, FULTON, KY 42041-1528
(270) 472-3262
(270) 472-3263
Mailing address
227 COMMERCIAL AVE, FULTON, KY 42041-1528
(270) 472-3262
(270) 472-3263
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
23661
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010012427
MEDICARE RAILROAD
KY
Enumeration date
06/10/2006
Last updated
06/30/2008
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