Provider Demographics
NPI:1770679938
Name:MALIK, UMAIR MOIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:UMAIR
Middle Name:MOIZ
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3149 LINCOLN HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1129
Mailing Address - Country:US
Mailing Address - Phone:610-384-4100
Mailing Address - Fax:610-441-7588
Practice Address - Street 1:3149 LINCOLN HWY
Practice Address - Street 2:SUITE C
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1129
Practice Address - Country:US
Practice Address - Phone:610-384-4100
Practice Address - Fax:610-441-7588
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD430211207R00000X, 207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102759349Medicaid
PA256083Medicare PIN
PA102759349Medicaid