Provider Demographics
NPI:1053457895
Name:G N HEALTHCARE
Entity Type:Organization
Organization Name:G N HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RABINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:443-538-4336
Mailing Address - Street 1:6302 SHORT WHEEL WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5608
Mailing Address - Country:US
Mailing Address - Phone:443-538-4336
Mailing Address - Fax:443-893-7151
Practice Address - Street 1:405 FREDERICK RD STE 162
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-4646
Practice Address - Country:US
Practice Address - Phone:443-538-4336
Practice Address - Fax:443-893-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty