Provider Demographics
NPI:1184713992
Name:MALIK, SYED W (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:W
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100174
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3174
Mailing Address - Country:US
Mailing Address - Phone:864-512-5667
Mailing Address - Fax:864-512-6746
Practice Address - Street 1:2000 E GREENVILLE ST STE 1100
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1714
Practice Address - Country:US
Practice Address - Phone:864-512-5667
Practice Address - Fax:864-512-6746
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500394207R00000X, 207RC0200X, 207RP1001X, 207RS0012X
SC35127207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904093Medicaid
NC183373OtherMEDCOST
SC351274Medicaid
SCP01124400OtherRR MEDICARE
NC7438400OtherAETNA
NC141T9OtherBCBS
NC9744188OtherCIGNA
NCP00320038OtherRAILROAD MEDICARE
NC7438400OtherAETNA
SCP01124400OtherRR MEDICARE
SCAA94177111Medicare PIN
NC9744188OtherCIGNA