Provider Demographics
NPI:1679732093
Name:SETH, MALIKA (MD)
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:SETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 SUNSET HILLS RD
Mailing Address - Street 2:#3414
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20195
Mailing Address - Country:US
Mailing Address - Phone:703-606-3424
Mailing Address - Fax:
Practice Address - Street 1:44095 PIPELINE PLZ STE 240
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7515
Practice Address - Country:US
Practice Address - Phone:703-723-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012514092084P0800X
103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry