Provider Demographics
NPI:1407948771
Name:MALIK, ANWAR K (MB,BS)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:K
Last Name:MALIK
Suffix:
Gender:M
Credentials:MB,BS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:180 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4550
Mailing Address - Country:US
Mailing Address - Phone:301-631-6877
Mailing Address - Fax:240-566-7820
Practice Address - Street 1:180 THOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4550
Practice Address - Country:US
Practice Address - Phone:301-631-6877
Practice Address - Fax:240-566-7820
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0067150207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI23898Medicare UPIN