Healthcare Provider Details

I. General information

NPI: 1902729247
Provider Name (Legal Business Name): MEGHA MALIK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11119 ROCKVILLE PIKE STE 500
ROCKVILLE MD
20852-3157
US

IV. Provider business mailing address

11119 ROCKVILLE PIKE STE 500
ROCKVILLE MD
20852-3157
US

V. Phone/Fax

Practice location:
  • Phone: 240-630-2188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0010758
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: