Individual
SALMAN S MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK BLVD, SUITE B, PETERSBURG, VA 23805-9289
(804) 520-6730
(804) 520-6731
Mailing address
5855 BREMO RD, STE 506, RICHMOND, VA 23226-1925
(804) 520-6730
(804) 520-6731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101248043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679667059
—
VA
05
—
96227800
—
NM
01
—
C06778
GROUP PTAN
VA
Enumeration date
10/03/2006
Last updated
06/10/2016
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