Healthcare Provider Details

I. General information

NPI: 1376278408
Provider Name (Legal Business Name): ATIKA MALIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE STE 235
ORLANDO FL
32804-4659
US

IV. Provider business mailing address

2902 N ORANGE AVE APT 310
ORLANDO FL
32804-4673
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-7331
  • Fax:
Mailing address:
  • Phone: 703-987-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0104024
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0104024
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: