Individual
ISHITA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
Mailing address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290831
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2019
Last updated
08/15/2022
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