Individual
DR. SUMAIRA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 HAMPTON ST, RICHMOND, VA 23220-6605
(904) 728-0329
(804) 358-4075
Mailing address
3306 BARKHAM DR, MIDLOTHIAN, VA 23112-4578
(904) 728-0329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260429
VA
207R00000X
Internal Medicine Physician
798-L
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101260429
VIRGINIA STATE LICENSE
VA
01
—
798-L
MS LIMITED MEDICAL LICENSE 798-L
MS
Enumeration date
01/03/2011
Last updated
09/11/2019
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