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1699730572 NPI number — KHALIL MAHMOOD MALIK MD

NPI Number: 1699730572
Health Care Provider/Practitioner: KHALIL MAHMOOD MALIK MD

Information about “1699730572” NPI (KHALIL MAHMOOD MALIK MD) exists in 1699730572 in HTML format HTML  |  1699730572 in plain Text format TXT  |  1699730572 in PDF (Portable Document Format) PDF  |  1699730572 in an XML format XML  formats.

NPI Number : 1699730572 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699730572",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALIK",
    "FirstName": "KHALIL",
    "MiddleName": "MAHMOOD",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "116 GWYNEDD LEA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH WALES",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19454-1921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-218-3427",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "601 E MAIN ST STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANSDALE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19446-2947",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-361-5070",
    "PracticeLocationAddressFaxNumber": "215-412-4811",
    "EnumerationDate": "04/20/2006",
    "LastUpdateDate": "03/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207KA0200X",
        "TaxonomyName": "Allergy Physician",
        "LicenseNumber": "MD035345E",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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