Provider Demographics
NPI:1093713448
Name:MALIK, ANUP (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUP
Middle Name:
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 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058162L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0821172000OtherINDEPENDENCE BLUE CROSS
0821172000OtherAMERIHEALTH
50010572OtherCAPITAL BLUE CROSS
8231205OtherCIGNA HEALTHCARE
P2402637OtherOXFORD HEALTH PLANS
2170554OtherMAMSI
50010572OtherKEYSTONE HEALTH CENTRAL
796311OtherHIGHMARK BLUE SHIELD
68368OtherGEISINGER HEALTH PLAN
PA0016267750013Medicaid
0821172000OtherKEYSTONE HEALTH EAST
1862757OtherUNITED HEALTHCARE
68368OtherGEISINGER HEALTH PLAN
G18687Medicare UPIN