Malik, Imran Mushtaq

Malik, Imran Mushtaq is an individual health care provider with primary practice located at 8515 S Us Highway 1 Suite 3, Port St Lucie FL 34952-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malik, Imran Mushtaq can be contacted via phone (772) 380-4042.

Contact Information

Primary practice address
8515 S Us Highway 1 Suite 3 Port St Lucie FL 34952-3346
Phone: (772) 380-4042
Fax: (772) 380-4043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301090215 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME107296 Florida

Profile Details

NPI number 1760651285
LBN Legal business name Malik, Imran Mushtaq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2008
Last updated Nov 15th, 2011 - about 14 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 1760651285 NPPES
Florida MEDICAID 003235300

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