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NPI Code Detail

MEDICARE: MICHAEL MALIK MD

MEDICARE:   MICHAEL  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
1208600000XSurgery PhysicianNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20357460OTHERNCCIGNA HEALTHCARE
3126EHOTHERNCBLUE CROSS BLUE SHIELD
47934139OTHERNCAETNA HEALTHCARE

General Provider Information

NPI Number : 1518966886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MALIK MD
Provider Business Mailing Address
First Line : 107 MONARCH WAY
Second Line :
City : CARY
State : NC
Zip : 27511-8975
Country : US
Telephone Number : 919-854-2929
Fax Number :
Provider Business Practice Location Address
First Line : 530 NEW WAVERLY PL
Second Line : STE. 304
City : CARY
State : NC
Zip : 27518-7414
Country : US
Telephone Number : 919-851-9193
Fax Number : 919-851-9223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 10/24/2007

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Directions to “ MICHAEL MALIK MD” Practice Location

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