Momin, Malik

Momin, Malik is an individual health care provider with primary practice located at 825 Sir Thomas Ct Suite B, Harrisburg PA 17109-4839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Momin, Malik can be contacted via phone (717) 652-8670.

Contact Information

Primary practice address
825 Sir Thomas Ct Suite B Harrisburg PA 17109-4839
Fax: (717) 901-5009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD044639-E Pennsylvania

Profile Details

NPI number 1023096708
LBN Legal business name Momin, Malik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 6th, 2010 - about 14 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 1023096708 NPPES
Pennsylvania MEDICAID 01236377

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