Provider Demographics
NPI:1518263128
Name:MALIK, RENA D (MD)
Entity Type:Individual
Prefix:DR
First Name:RENA
Middle Name:D
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2108 N ST STE 5892
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:949-610-0866
Mailing Address - Fax:949-569-9606
Practice Address - Street 1:19712 MACARTHUR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2407
Practice Address - Country:US
Practice Address - Phone:949-610-0866
Practice Address - Fax:949-569-9606
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2024-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR9098208800000X
CAC186961208800000X
MDD85712208800000X
FLTPME5484208800000X
VA101278199208800000X
NY294488208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology