Provider Demographics
NPI:1730370891
Name:MALIK, NEVEEN (DO)
Entity type:Individual
Prefix:
First Name:NEVEEN
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2358
Mailing Address - Country:US
Mailing Address - Phone:844-542-2273
Mailing Address - Fax:856-553-4390
Practice Address - Street 1:900 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2358
Practice Address - Country:US
Practice Address - Phone:844-542-2273
Practice Address - Fax:856-553-4390
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08983300207R00000X, 207RC0200X, 207RP1001X
FLOS 11895207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007984900Medicaid
FLGP842ZMedicare PIN