Provider Demographics
NPI:1619594587
Name:MALIK, TSUNNUM UZMA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TSUNNUM
Middle Name:UZMA
Last Name:MALIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 ROYALRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-1243
Mailing Address - Country:US
Mailing Address - Phone:408-247-2890
Mailing Address - Fax:
Practice Address - Street 1:2527 ROYALRIDGE WAY
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-1243
Practice Address - Country:US
Practice Address - Phone:408-247-2890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA499391835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy