Provider Demographics
NPI:1073524534
Name:MALIK, HARBANS LAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HARBANS
Middle Name:LAL
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 387
Mailing Address - Street 2:UNION CITY ANESTHESIA GROUP
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261
Mailing Address - Country:US
Mailing Address - Phone:731-885-0787
Mailing Address - Fax:731-885-0756
Practice Address - Street 1:1201 BISHOP ST. BAPTIST MEMORIAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261
Practice Address - Country:US
Practice Address - Phone:731-885-0787
Practice Address - Fax:731-885-0756
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD 15849207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA98124Medicare UPIN