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Individual

AJAY MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Mailing address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35083186
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000555174
ANTHEM
01
04097
PARAMOUNT
05
2465069
OH
01
7366568
AETNA
01
P00835594
RRMC
Enumeration date
10/04/2005
Last updated
11/03/2023
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