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Individual

ISHTIAQ A MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6128 LANDOVER RD, CHEVERLY, MD 20785-1016
(202) 269-7528
Mailing address
10801 LOCKWOOD DR, SUITE 140, SILVER SPRING, MD 20901-1556
(301) 592-1780
(301) 592-1783

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD33449
DC
207UN0901X
Nuclear Cardiology Physician
MD33449
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033832300
DC
05
398660800
MD
Enumeration date
06/06/2006
Last updated
09/12/2022
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