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
Phone: (309) 692-9898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1922053982 | NPPES |
| Illinois | MEDICAID | 036082393 | |
| Illinois | Other | 300020424 |
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