MEDICARE: NAHEED 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	207R00000X	Internal Medicine Physician	A52674	CA

General Provider Information

NPI Number	:	1699889105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHEED MALIK M.D.

Provider Business Mailing Address
First Line	:	1691 THE ALAMEDA
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2203
Country	:	US
Telephone Number	:	408-287-7532
Fax Number	:	408-287-0405

Provider Business Practice Location Address
First Line	:	2470 ALVIN AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1664
Country	:	US
Telephone Number	:	408-274-7211
Fax Number	:	408-274-8763

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/25/2007

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