Provider Demographics
NPI:1689810558
Name:MALIK, SABRINA KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:KAUR
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:KAUR
Other - Last Name:PANESAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:150 BERGEN ST
Mailing Address - Street 2:UMDNJ HOSPITAL RM D347
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2496
Mailing Address - Country:US
Mailing Address - Phone:973-972-6014
Mailing Address - Fax:
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:DEPARTMENT OF NEWBORN MEDICINE
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1652
Practice Address - Country:US
Practice Address - Phone:914-493-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253546208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics