MEDICARE: DR. BHAVNA MALIK MD

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	207R00000X	Internal Medicine Physician	A85469	CA
2	207RI0200X	Infectious Disease Physician	A85469	CA

General Provider Information

NPI Number	:	1437231537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHAVNA MALIK MD

Provider Business Mailing Address
First Line	:	365 LENNON LN
Second Line	:	STE 200
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-5912
Country	:	US
Telephone Number	:	925-947-2334
Fax Number	:	925-947-5889

Provider Business Practice Location Address
First Line	:	365 LENNON LN
Second Line	:	STE 200
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-5912
Country	:	US
Telephone Number	:	925-947-2334
Fax Number	:	925-947-5889

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	02/26/2025

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