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Individual

MICHAEL MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW WAVERLY PL, STE. 304, CARY, NC 27518-7414
(919) 851-9193
(919) 851-9223
Mailing address
107 MONARCH WAY, CARY, NC 27511-8975
(919) 854-2929

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0357460
CIGNA HEALTHCARE
NC
01
126EH
BLUE CROSS BLUE SHIELD
NC
01
7934139
AETNA HEALTHCARE
NC
05
89126EH
NC
Enumeration date
07/19/2005
Last updated
10/24/2007
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