Organization
SHAHAB A MALIK MD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAB ASGHAR MALIK M.D. (CHAIRMAN)
(410) 582-9630
Entity
Organization
Contact information
Practice address
1403 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061-6292
(410) 582-9630
(410) 582-9653
Mailing address
1403 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061-6292
(410) 582-9630
(410) 582-9653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698105400
—
MD
Enumeration date
02/06/2007
Last updated
08/14/2024
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