Malik, Asifa Mahboob

Malik, Asifa Mahboob is an individual health care provider with primary practice located at 1005 9Th St Apt 3 , Golden CO 80401-5853. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Malik, Asifa Mahboob can be contacted via phone (260) 416-8611.

Contact Information

Primary practice address
1005 9Th St Apt 3 Golden CO 80401-5853
Phone: (260) 416-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01062625 Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27704 West Virginia

Profile Details

NPI number 1578574216
LBN Legal business name Malik, Asifa Mahboob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578574216 NPPES
Indiana Other 000000488057 ANTHEM
Indiana Other P00390080 ANTHEM
Indiana MEDICAID 200838230 ANTHEM

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