MEDICARE: DR. FATIMA NADIA 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
1	208000000X	Pediatrics Physician	MD436251	PA
2	208000000X	Pediatrics Physician	MD60836518	WA
3	208000000X	Pediatrics Physician	25MA08363400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669621363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FATIMA NADIA MALIK M.D.

Provider Business Mailing Address
First Line	:	7600 EVERGREEN WAY
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-6421
Country	:	US
Telephone Number	:	206-860-5414
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 106TH ST SW STE 102
Second Line	:
City	:	MUKILTEO
State	:	WA
Zip	:	98275-4711
Country	:	US
Telephone Number	:	425-493-6000
Fax Number	:	425-493-6015

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

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	05/14/2026

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