Individual
BUSHRA I MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 VALLEY GREEN LN STE 510, KING OF PRUSSIA, PA 19406-2080
(484) 572-6300
(484) 572-6305
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1530
(484) 337-1412
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD438872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102410421
—
PA
Enumeration date
05/08/2008
Last updated
07/21/2021
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