Provider Demographics
NPI:1831159896
Name:MALIK-HAMIRANI, RABINA (MD)
Entity type:Individual
Prefix:DR
First Name:RABINA
Middle Name:
Last Name:MALIK-HAMIRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GRAND CENTRAL MALL
Mailing Address - Street 2:SUITE 9
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-4100
Mailing Address - Country:US
Mailing Address - Phone:410-368-8640
Mailing Address - Fax:304-916-1871
Practice Address - Street 1:800 GRAND CENTRAL MALL
Practice Address - Street 2:SUITE 9
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-4100
Practice Address - Country:US
Practice Address - Phone:304-834-3970
Practice Address - Fax:304-916-1871
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063501207R00000X
WV25689207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKV0864710701OtherCAREFIRST
MD409077200Medicaid
DCW6200064OtherCAREFIRST
MDK519M731Medicare ID - Type Unspecified
MD409077200Medicaid