Individual
DR. FARYAL SHAHAB MALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
417 STATE ST STE 20, BANGOR, ME 04401-6637
(207) 973-9185
Mailing address
417 STATE ST STE 20, BANGOR, ME 04401-6637
(207) 973-9185
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD27513
ME
390200000X
Student in an Organized Health Care Education/Training Program
0116033420
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/22/2018
Last updated
09/24/2024
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