Individual
PRAMOD MALIK
Active
Individual
PRAMOD MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101231641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010103061
—
VA
01
—
159847
ANTEM OF VA
VA
Enumeration date
12/21/2005
Last updated
05/11/2020
Update your record
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