Provider Demographics
NPI:1548913031
Name:MALIK MD HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MALIK MD HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-983-2434
Mailing Address - Street 1:451 ANDOVER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5079
Mailing Address - Country:US
Mailing Address - Phone:978-983-2434
Mailing Address - Fax:978-794-2007
Practice Address - Street 1:451 ANDOVER ST STE 205
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5079
Practice Address - Country:US
Practice Address - Phone:978-983-2434
Practice Address - Fax:978-794-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty