Provider Demographics
NPI:1487684304
Name:ALMALIKY, MUHAMED H (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMED
Middle Name:H
Last Name:ALMALIKY
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 1:1512 SPRUCE ST
Mailing Address - Street 2:SUITE 909
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4524
Mailing Address - Country:US
Mailing Address - Phone:215-519-3292
Mailing Address - Fax:215-246-5854
Practice Address - Street 1:1512 SPRUCE ST
Practice Address - Street 2:SUITE 909
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-4524
Practice Address - Country:US
Practice Address - Phone:215-519-3292
Practice Address - Fax:215-246-5854
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419933207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH78421Medicare UPIN