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NPI Code Detail

MEDICARE: PANKAJ MALIK M.D.

MEDICARE: PANKAJ MALIK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101040949VA

General Provider Information

NPI Number : 1033109426
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANKAJ MALIK M.D.
Provider Business Mailing Address
First Line : 4375 FAIR LAKES CT
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4234
Country : US
Telephone Number : 571-432-2600
Fax Number : 571-432-2787
Provider Business Practice Location Address
First Line : 4375 FAIR LAKES CT
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4234
Country : US
Telephone Number : 571-432-2600
Fax Number : 571-432-2787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 05/28/2025

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