Provider Demographics
NPI:1669663480
Name:MALIK, SHAHID MASOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHID
Middle Name:MASOOD
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 1:100 HYMAN PLACE
Mailing Address - Street 2:APARTMENT 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:215-287-1244
Mailing Address - Fax:
Practice Address - Street 1:100 HYMAN PL
Practice Address - Street 2:APARTMENT 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-4617
Practice Address - Country:US
Practice Address - Phone:215-287-1244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439126207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology