Malik, Taj A

Malik, Taj A is an individual health care provider with primary practice located at 5 Severance Circle Suite 701, Cleveland Heights OH 44118-1590. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Malik, Taj A can be contacted via phone (216) 397-0999.

Contact Information

Primary practice address
5 Severance Circle Suite 701 Cleveland Heights OH 44118-1590
Phone: (216) 397-0999
Fax: (216) 397-0983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002541M Ohio

Profile Details

NPI number 1972669752
LBN Legal business name Malik, Taj A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Mar 12th, 2013 - about 11 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 1972669752 NPPES
Ohio MEDICAID 0718512

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