Healthcare Provider Details

I. General information

NPI: 1386630325
Provider Name (Legal Business Name): ARSHAD P MALIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8560 BROADWAY
MERRILLVILLE IN
46410-6382
US

IV. Provider business mailing address

8560 BROADWAY
MERRILLVILLE IN
46410-6382
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 Number01034378
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: