MEDICARE: RAHUL MALIK DMD

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
1	122300000X	Dentist	019029285	IL
2	1223G0001X	General Practice Dentistry	10776	CT
3	1223G0001X	General Practice Dentistry	DN1856010	MA

General Provider Information

NPI Number	:	1134481229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHUL MALIK DMD

Provider Business Mailing Address
First Line	:	2702 W DEYOUNG ST
Second Line	:
City	:	MARION
State	:	IL
Zip	:	62959-4950
Country	:	US
Telephone Number	:	205-639-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 WEST DEYOUNG STREET
Second Line	:
City	:	MARION
State	:	IL
Zip	:	62959
Country	:	US
Telephone Number	:	205-639-7259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	03/01/2013

Similar Medicare Providers

1841121050 — LUCAS BENN
Practice Location Address:

812 SKYLINE DR STE 200
MARION, IL
62959-4874

Practice Phone: 618-440-1534
Practice Fax:

1750212635 — LISA ANNE STROH
Practice Location Address:

812 SKYLINE DR STE 200
MARION, IL
62959-4874

Practice Phone: 618-440-1534
Practice Fax:

1811828783 — MR. CHASE LOUIS HICKMAN III
Practice Location Address:

812 SKYLINE DR STE 200
MARION, IL
62959-4874

Practice Phone: 618-440-1534
Practice Fax:

1801744719 — MEC ADVANCED SURGICAL INSTITUTE LLC
Practice Location Address:

1202 W DEYOUNG ST
MARION, IL
62959

Practice Phone: 618-967-1396
Practice Fax:

1255706818 — JOSEPH SPECKER IV CRNA
Practice Location Address:

3333 W DEYOUNG ST
MARION, IL
62959-5884

Practice Phone: 228-861-1192
Practice Fax: 618-997-1122

1720064439 — STEVEN A ROODMAN M.D.
Practice Location Address:

3333 W DEYOUNG ST
MARION, IL
62959-5884

Practice Phone: 618-998-7000
Practice Fax:

1013230119 — DAVID I BLUE CRNA
Practice Location Address:

3333 W DEYOUNG ST
MARION, IL
62959-5884

Practice Phone: 618-998-7000
Practice Fax:

Directions to “ RAHUL MALIK DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.