Malik, Abdul M

Malik, Abdul M is an individual health care provider with primary practice located at 60101 Bodnar Blvd Ste 100B , Mishawaka IN 46544-9340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Malik, Abdul M can be contacted via phone (574) 335-8800.

Contact Information

Primary practice address
60101 Bodnar Blvd Ste 100B Mishawaka IN 46544-9340
Fax: (574) 335-0613
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01054291A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 4301113580 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 01054291A Indiana

Profile Details

NPI number 1952300584
LBN Legal business name Malik, Abdul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jun 14th, 2024 - about 2 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 1952300584 NPPES
Indiana MEDICAID 200371940A
Indiana Other 261970071
Indiana Other 1102537324
Indiana Other 000000645559
Indiana Other 236040052
Indiana Other 169380070
Indiana Other 4301113580

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