Individual
DR. RAZA ALI MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S SALEM DR, BARDSTOWN, KY 40004-1761
(502) 348-3400
(502) 349-4745
Mailing address
1528 YORKSHIRE DR, ELIZABETHTOWN, KY 42701-9191
(270) 360-9170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33395
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64333958
—
KY
Enumeration date
05/12/2006
Last updated
03/07/2023
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