Provider Demographics
NPI:1881658722
Name:MALIK, ASIM (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIM
Middle Name:
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 1:402 MORVEN RD
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-2743
Mailing Address - Country:US
Mailing Address - Phone:704-694-5164
Mailing Address - Fax:704-695-1184
Practice Address - Street 1:402 MORVEN RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2743
Practice Address - Country:US
Practice Address - Phone:704-694-5164
Practice Address - Fax:704-695-1184
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135E0OtherBCBS OF NC
NC89135E0Medicaid
NCH89959Medicare UPIN
NC2020325Medicare ID - Type Unspecified