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NPI Code Detail

MEDICARE: DEVIN BIRSINGH MALIK MD

MEDICARE: DEVIN BIRSINGH 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
1207R00000XInternal Medicine Physician4301100683MI
2207RH0000XHematology (Internal Medicine) Physician4301100683MI
3207RH0003XHematology & Oncology Physician4301100683MI
4207RX0202XMedical Oncology Physician4301100683MI

General Provider Information

NPI Number : 1568722981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN BIRSINGH MALIK MD
Provider Business Mailing Address
First Line : 205 N. EAST AVENUE
Second Line : PROVIDER ENROLLMENT
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-205-3867
Fax Number : 517-803-2133
Provider Business Practice Location Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number : 517-205-5229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 01/02/2024

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