Individual
SHUJA ASSAD MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3947
(859) 323-0295
(859) 323-1256
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 790-2085
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58919
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
06/06/2024
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