Organization
DELTA NEURODIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOMAL MALIK MD (AUTHORIZED OFFICIAL)
(443) 889-7470
Entity
Organization
Contact information
Practice address
14099 PATTERSON FARM CT, GLENELG, MD 21737-9768
(443) 889-7470
(301) 604-7005
Mailing address
14099 PATTERSON FARM CT, GLENELG, MD 21737-9768
(443) 889-7470
(301) 604-7005
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
03/11/2019
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