Provider Demographics
NPI:1023436433
Name:MALIK, ANKIT (DO MBA)
Entity type:Individual
Prefix:DR
First Name:ANKIT
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:DO MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1535
Mailing Address - Country:US
Mailing Address - Phone:732-540-7748
Mailing Address - Fax:
Practice Address - Street 1:44 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1535
Practice Address - Country:US
Practice Address - Phone:732-540-7748
Practice Address - Fax:732-402-8961
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09991700207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine