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NPI Code Detail

MEDICARE: YASSER MALIK MD

MEDICARE: YASSER 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
1207Q00000XFamily Medicine Physician35.124084OH

Other Identifiers

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

General Provider Information

NPI Number : 1902124811
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASSER MALIK MD
Provider Business Mailing Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4231
Country : US
Telephone Number : 419-473-3561
Fax Number :
Provider Business Practice Location Address
First Line : 6135 TRUST DR
Second Line :
City : HOLLAND
State : OH
Zip : 43528-9358
Country : US
Telephone Number : 567-703-8696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 07/21/2022

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