Malik, Liaquat N

Malik, Liaquat N is an individual health care provider with primary practice located at 7309 N Knoxville Ave , Peoria IL 61614-2085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Malik, Liaquat N can be contacted via phone (309) 692-9898.

Contact Information

Primary practice address
7309 N Knoxville Ave Peoria IL 61614-2085
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036082393 Illinois

Profile Details

NPI number 1922053982
LBN Legal business name Malik, Liaquat N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 7th, 2010 - about 15 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 1922053982 NPPES
Illinois MEDICAID 036082393
Illinois Other 300020424

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