Malik, Awais

Malik, Awais is an sole proprietor health care provider with primary practice located at 754 Clinton Ave , Bridgeport CT 06604-2301. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Malik, Awais can be contacted via phone (203) 923-2204.

Contact Information

Primary practice address
754 Clinton Ave Bridgeport CT 06604-2301
Fax: (203) 923-2205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 049851 Connecticut
Allopathic & Osteopathic Physicians / General Practice 208D00000X 049851 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049851 Connecticut

Profile Details

NPI number 1508025594
LBN Legal business name Malik, Awais
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2008
Last updated Dec 11th, 2020 - about 4 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 1508025594 NPPES
Connecticut MEDICAID 008059397

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