Malik, Javaid A

Malik, Javaid A is an individual health care provider with primary practice located at 1711 27Th St Ste 103 , Portsmouth OH 45662-2670. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Malik, Javaid A can be contacted via phone (740) 356-6740.

Contact Information

Primary practice address
1711 27Th St Ste 103 Portsmouth OH 45662-2670
Phone: (740) 356-6740
Fax: (740) 355-9281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 271685 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.120658 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 271685 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD423112 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35.120658 Ohio

Profile Details

NPI number 1114985520
LBN Legal business name Malik, Javaid A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 17th, 2022 - about 2 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 1114985520 NPPES
Pennsylvania MEDICAID 1011409110004
Pennsylvania MEDICAID 03530458
Pennsylvania MEDICAID 1011409110003

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