Individual
SHAMIM A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DELTA MEMORIAL HOSPITAL, 811 HIGHWAY 65 SOUTH, DUMAS, AR 71639
(870) 382-8234
(870) 382-6555
Mailing address
1325 HEARTWOOD ST, WHITE HALL, AR 71602
(870) 543-9820
(870) 534-5798
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E0062
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126148001
—
AR
01
—
E0062
STATE LICENSE
AR
Enumeration date
06/12/2006
Last updated
09/01/2020
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