Organization
RENOVAR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL MALIK MD (MD)
(574) 849-5063
Entity
Organization
Contact information
Practice address
1750 KILBOURN ST, ELKHART, IN 46514-1920
(574) 387-6260
Mailing address
1750 KILBOURN ST, ELKHART, IN 46514-1920
(574) 387-6260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
02/18/2026
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