Malik, Rahul
Malik, Rahul is an sole proprietor health care provider with primary practice located at 2702 West Deyoung Street , Marion IL 62959. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Malik, Rahul can be contacted via phone (205) 639-7259.Contact Information
Primary practice address
2702 West Deyoung Street
Marion IL 62959
Phone: (205) 639-7259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019029285 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 10776 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | DN1856010 | Massachusetts |
Profile Details
| NPI number | 1134481229 |
|---|---|
| LBN Legal business name | Malik, Rahul |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Mar 1st, 2013 - about 13 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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