Provider Demographics
NPI:1811283724
Name:MALIK, RAHIL (MD)
Entity type:Individual
Prefix:DR
First Name:RAHIL
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4724
Mailing Address - Country:US
Mailing Address - Phone:954-791-3091
Mailing Address - Fax:954-791-3166
Practice Address - Street 1:1200 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4724
Practice Address - Country:US
Practice Address - Phone:954-791-3090
Practice Address - Fax:954-791-3166
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123632207V00000X
FLTRN305207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3871827OtherCIGNA
FL1516EOtherBCBSFL
FL385242OtherAVMED
FL014829500Medicaid
FL6499762OtherBEACHSTREET
FL1156922OtherCAREPLUS
FL5781574OtherUHC