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General NPI Number Information
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NPI Number | 1952300584
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Entity Type | Individual
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Provider Name | ABDUL M MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 550 MUNSON AVE
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-3580
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Country | US
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Telephone | 231-935-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 707 CEDAR ST STE 405
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City | SOUTH BEND
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State | IN
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Zip | 46617-2059
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Country | US
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Telephone | 574-335-8707
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Fax | 574-335-0741
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 4301113580
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01054291A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 01054291A
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License Number State | IN
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