Provider Demographics
NPI:1366477788
Name:ASHE, MALIK E SR (MD)
Entity type:Individual
Prefix:
First Name:MALIK
Middle Name:E
Last Name:ASHE
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 603898
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3898
Mailing Address - Country:US
Mailing Address - Phone:803-581-2800
Mailing Address - Fax:803-581-4396
Practice Address - Street 1:517 DOCTORS CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-8644
Practice Address - Country:US
Practice Address - Phone:803-581-2800
Practice Address - Fax:803-581-4396
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine