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General NPI Number Information
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NPI Number | 1699730572
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Entity Type | Individual
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Provider Name | KHALIL MAHMOOD MALIK MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 601 E MAIN ST STE 3
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City | LANSDALE
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State | PA
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Zip | 19446-2947
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Country | US
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Telephone | 215-361-5070
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Fax | 215-412-4811
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Provider Business Mailing Address
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Address Line | 116 GWYNEDD LEA DR
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City | NORTH WALES
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State | PA
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Zip | 19454-1921
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Country | US
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Telephone | 267-218-3427
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | MD035345E
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License Number State | PA
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