MEDICARE: 360HC SPECIALTY SERVICES LLC

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
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1346121795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	360HC SPECIALTY SERVICES LLC

Provider Business Mailing Address
First Line	:	10 MALL RD STE 301
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-4131
Country	:	US
Telephone Number	:	781-488-6843
Fax Number	:	781-488-6837

Provider Business Practice Location Address
First Line	:	10 MALL RD STE 301
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-4131
Country	:	US
Telephone Number	:	781-488-6843
Fax Number	:	781-488-6837

Authorized Official
Title or Position	:	OWNER
Name	:	FAISAL MALIK
Credential	:	MD
Telephone Number	:	781-547-1038

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	01/06/2026

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