Individual
TAJ A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5 SEVERANCE CIRCLE, SUITE 701, CLEVELAND HEIGHTS, OH 44118-1590
(216) 397-0999
(216) 397-0983
Mailing address
PO BOX 1864, CLEVELAND HEIGHTS, OH 44106-0064
(216) 397-0999
(216) 397-0983
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002541M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0718512
—
OH
Enumeration date
12/28/2006
Last updated
03/12/2013
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