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NPI Code Detail

MEDICARE: DR. NADEEM N MALIK MD

MEDICARE: DR. NADEEM N 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician18936WV
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician35065221OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
335-065221OTHEROHOHIO LICENSE

General Provider Information

NPI Number : 1306822275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADEEM N MALIK MD
Provider Business Mailing Address
First Line : 8593 RAINTREE RUN
Second Line :
City : POLAND
State : OH
Zip : 44514-2988
Country : US
Telephone Number : 330-757-1957
Fax Number :
Provider Business Practice Location Address
First Line : 1622 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6613
Country : US
Telephone Number : 330-399-7215
Fax Number : 330-399-2411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 04/18/2022

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