Provider Demographics
NPI:1467450239
Name:MALIK, RAAFEA (MD)
Entity type:Individual
Prefix:DR
First Name:RAAFEA
Middle Name:
Last Name:MALIK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5000 CEDAR PLAZA PARKWAY
Mailing Address - Street 2:STE 350
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3441
Mailing Address - Country:US
Mailing Address - Phone:314-843-4333
Mailing Address - Fax:314-843-4856
Practice Address - Street 1:4905 MEXICO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1610
Practice Address - Country:US
Practice Address - Phone:636-928-5109
Practice Address - Fax:636-441-1081
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2012-09-17
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Provider Licenses
StateLicense IDTaxonomies
MO1011272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG29053Medicare UPIN