Healthcare Provider Details

I. General information

NPI: 1215497854
Provider Name (Legal Business Name): ADIL AMIR MALIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 7TH AVE
SAN FRANCISCO CA
94122-3704
US

IV. Provider business mailing address

PO BOX 591044
SAN FRANCISCO CA
94159-1044
US

V. Phone/Fax

Practice location:
  • Phone: 415-566-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA201925
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA201925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: