Provider Demographics
NPI:1750497608
Name:MALIK, ZAHIDA PERVEEN (MD)
Entity type:Individual
Prefix:DR
First Name:ZAHIDA
Middle Name:PERVEEN
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2680 SOUTH WHITE RD
Mailing Address - Street 2:270
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148
Mailing Address - Country:US
Mailing Address - Phone:408-238-8303
Mailing Address - Fax:408-238-8375
Practice Address - Street 1:2680 SOUTH WHITE RD
Practice Address - Street 2:270
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148
Practice Address - Country:US
Practice Address - Phone:408-238-8303
Practice Address - Fax:408-238-8375
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2011-03-21
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Provider Licenses
StateLicense IDTaxonomies
CAA33613208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA0336130Medicaid