Provider Demographics
NPI:1639105588
Name:MALIK, INAYAT K (MD)
Entity Type:Individual
Prefix:
First Name:INAYAT
Middle Name:K
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 1:2000 JOSEPH E SANKER BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1979
Mailing Address - Country:US
Mailing Address - Phone:513-841-7400
Mailing Address - Fax:513-841-7402
Practice Address - Street 1:2000 JOSEPH E SANKER BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1979
Practice Address - Country:US
Practice Address - Phone:513-841-7400
Practice Address - Fax:513-841-7402
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-3146208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0181735Medicaid
KY64955172Medicaid
OH340011142OtherRAILROAD MEDICARE
OH0276946Medicaid
OH0276946Medicaid
OH340011142OtherRAILROAD MEDICARE
KY64955172Medicaid
OH9284399Medicare PIN
OH0365186Medicare PIN
OH0365181Medicare PIN