Provider Demographics
NPI:1487659595
Name:MALIK, ARSHED PERVEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ARSHED
Middle Name:PERVEZ
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 1:4228 HOUMA BLVD
Mailing Address - Street 2:STE 530
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3017
Mailing Address - Country:US
Mailing Address - Phone:504-503-6415
Mailing Address - Fax:504-503-6117
Practice Address - Street 1:4228 HOUMA BLVD
Practice Address - Street 2:STE 530
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3017
Practice Address - Country:US
Practice Address - Phone:504-503-6415
Practice Address - Fax:504-503-6117
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1015R207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1981591Medicaid
4535BOtherECFMG
LA5U036Medicare PIN
F11369Medicare UPIN
4535BOtherECFMG