Individual
MS. KIRAN MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3060 GODWIN BLVD, SUFFOLK, VA 23434-8274
(757) 935-5310
(757) 935-5311
Mailing address
3060 GODWIN BLVD, SUFFOLK, VA 23434-8274
(757) 935-5310
(757) 935-5311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101264974
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2016
Last updated
06/04/2019
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