Malik, Sulleman
Malik, Sulleman is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240 , Johnson City TN 37604-2364. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Malik, Sulleman can be contacted via phone (423) 794-5520.Contact Information
Primary practice address
301 Med Tech Pkwy Ste 240
Johnson City TN 37604-2364
Phone: (423) 794-5520
Fax: (423) 282-0782
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50187 | Tennessee |
Profile Details
NPI number | 1699905778 |
---|---|
LBN Legal business name | Malik, Sulleman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2009 |
Last updated | May 2nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699905778 | NPPES |
Tennessee | MEDICAID | Q000678 |
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