Healthcare Provider Details

I. General information

NPI: 1194993089
Provider Name (Legal Business Name): RUSHDAH SAEED MALIK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31500 TELEGRAPH RD STE 225
BINGHAM FARMS MI
48025-4367
US

IV. Provider business mailing address

22301 FOSTER WINTER DR 2ND FLOOR
SOUTHFIELD MI
48075-3707
US

V. Phone/Fax

Practice location:
  • Phone: 248-552-0620
  • Fax: 248-530-9899
Mailing address:
  • Phone: 248-552-0620
  • Fax: 248-552-8602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number4301087920
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: