Healthcare Provider Details

I. General information

NPI: 1720546765
Provider Name (Legal Business Name): ZOHRA RAZAQ MALIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 21ST AVE N
NASHVILLE TN
37203-1846
US

IV. Provider business mailing address

327 BEACH 19TH ST
FAR ROCKAWAY NY
11691-4423
US

V. Phone/Fax

Practice location:
  • Phone: 931-388-0620
  • Fax:
Mailing address:
  • Phone: 917-600-2733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number317844-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number77636
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: