Individual
DR. MOHAMMAD S MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8608 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 922-6900
(410) 922-7070
Mailing address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D26235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10433662
CAQH
MD
01
—
S633 523300
CAREFIRST
MD
Enumeration date
07/13/2005
Last updated
06/02/2015
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