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NPI Code Detail

MEDICARE: DR. FAROOQ AHMED MALIK MD

MEDICARE: DR. FAROOQ AHMED MALIK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114629813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAROOQ AHMED MALIK MD
Provider Business Mailing Address
First Line : 4535 DRESSLER RD NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7474
Country : US
Telephone Number : 540-776-4128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 06/26/2026

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Directions to “ DR. FAROOQ AHMED MALIK MD” Practice Location

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