Malik, Javed A
Malik, Javed A is an individual health care provider with primary practice located at 621 Memorial Dr Ste 100, South Bend IN 46601-1063. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Malik, Javed A can be contacted via phone (574) 647-1100.Contact Information
Primary practice address
621 Memorial Dr Ste 100
South Bend IN 46601-1063
Phone: (574) 647-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 5101027162 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 02004860A | Indiana |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 5101027162 | Michigan |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 02004860A | Indiana |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 02004860A | Indiana |
Profile Details
| NPI number | 1457666497 |
|---|---|
| LBN Legal business name | Malik, Javed A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2010 |
| Last updated | May 1st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457666497 | NPPES |
| Michigan | MEDICAID | 1457666497 | |
| Michigan | MEDICAID | 201374770 |
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