MEDICARE: DR. MAHIM MALIK M.D

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1588894968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHIM MALIK M.D

Provider Business Mailing Address
First Line	:	420 W, 10TH AVE
Second Line	:	N846 DOAN HALL
City	:	COLUMBUS
State	:	OH
Zip	:	43210-0000
Country	:	US
Telephone Number	:	614-293-0333
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 W, 10TH AVE
Second Line	:	N846 DOAN HALL
City	:	COLUMBUS
State	:	OH
Zip	:	43210-0000
Country	:	US
Telephone Number	:	614-293-0333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	06/10/2014

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