Individual
DR. SUDHIR MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4033 3RD AVE STE 420, SAN DIEGO, CA 92103-2140
(619) 294-9292
(619) 294-3311
Mailing address
PO BOX 2702, WEIRTON, WV 26062-1902
(740) 282-6390
(740) 266-7749
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35057785
OH
2084N0400X
Neurology Physician
Primary
C54773
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
C54773
CA
2084N0600X
Clinical Neurophysiology Physician
C54773
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35057785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108647000
—
WV
05
—
0883370
—
OH
01
—
130011127
RAILROAD MEDICARE
OH
Enumeration date
10/06/2005
Last updated
11/18/2020
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