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Individual

DR. FARHAN JAVED MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8460 HOLCOMB BRIDGE RD FL 2, ALPHARETTA, GA 30022-6868
(770) 416-9995
Mailing address
8460 HOLCOMB BRIDGE RD FL 2, ALPHARETTA, GA 30022-6868
(770) 416-9995

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12677
NV
207Q00000X
Family Medicine Physician
Primary
66215
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
42980
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000625044
ANTHEM
KY
05
7100082420
KY
01
P00752408
RAILROAD
KY
Enumeration date
05/02/2008
Last updated
03/29/2021
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