Provider Demographics
NPI:1558986356
Name:JHAWAR, MALIKA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MALIKA
Middle Name:
Last Name:JHAWAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5613 167TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5543
Mailing Address - Country:US
Mailing Address - Phone:425-677-4417
Mailing Address - Fax:
Practice Address - Street 1:5613 167TH PL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-5543
Practice Address - Country:US
Practice Address - Phone:425-677-4417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program