Organization
PCCMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN MALIK MD (PROPRIETOR)
(785) 608-1481
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
7817 CALPURNIA CT, MC LEAN, VA 22102-2701
(785) 608-1481
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101252082
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101252082
VA
Other
Enumeration date
09/18/2017
Last updated
03/17/2018
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