Healthcare Provider Details

I. General information

NPI: 1275859613
Provider Name (Legal Business Name): ARSHAD P. MALIK, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8560 BROADWAY
MERRILLVILLE IN
46410-7032
US

IV. Provider business mailing address

P. O. BOX 1519
CROWN POINT IN
46308-1519
US

V. Phone/Fax

Practice location:
  • Phone: 219-793-9248
  • Fax: 219-793-9387
Mailing address:
  • Phone: 219-793-9248
  • Fax: 219-793-9387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01034378A
License Number StateIN

VIII. Authorized Official

Name: DR. ARSHAD P. MALIK
Title or Position: DOCTOR
Credential: MD
Phone: 219-793-9248