Individual
DR. LALARUKH MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12800 MIDDLEBROOK RD STE 114, GERMANTOWN, MD 20874-5286
(240) 686-1122
(240) 686-1124
Mailing address
12800 MIDDLEBROOK RD STE 114, GERMANTOWN, MD 20874-5286
(240) 686-1122
(240) 686-1124
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0066741
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
102418840 0001
—
PA
05
—
102418840 0002
—
PA
01
—
1586628
GATEWAY
PA
01
—
25-1716306
SOUTH CENTRAL PREFERRED
PA
05
—
414346900
—
MD
01
—
50091891
CAPITAL BLUECROSS
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MA2146426
HIGHMARK BLUESHIELD
PA
01
—
MD439082
LICENSE
PA
01
—
P00804834
RAILROAD MEDICARE
PA
Enumeration date
05/17/2007
Last updated
03/31/2026
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