Individual
JAVED A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 MEMORIAL DR, STE 100, SOUTH BEND, IN 46601-1063
(574) 647-1100
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1088
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
02004860A
IN
207RH0000X
Hematology (Internal Medicine) Physician
5101027162
MI
207RH0003X
Hematology & Oncology Physician
Primary
02004860A
IN
207RX0202X
Medical Oncology Physician
02004860A
IN
207RX0202X
Medical Oncology Physician
5101027162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457666497
—
MI
05
—
201374770
—
IN
Enumeration date
08/14/2010
Last updated
05/01/2023
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