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General NPI Number Information
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NPI Number | 1649610114
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Entity Type | Individual
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Provider Name | MUHAMMAD RAIHAN MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 26908 DETROIT RD STE. 200
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City | WESTLAKE
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State | OH
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Zip | 44145-2398
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Country | US
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Telephone | 440-250-8660
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Fax |
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Provider Business Mailing Address
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Address Line | 1138 LANDER RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-1602
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Country | US
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Telephone | 818-653-3798
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.020905
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-127407
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License Number State | OH
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