Salman S Malik, MD | |
40 Medical Park Blvd, Suite B, Petersburg, VA 23805-9289 | |
(804) 520-6730 | |
(804) 520-6731 |
Full Name | Salman S Malik |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 40 Medical Park Blvd, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679667059 | NPI | - | NPPES |
96227800 | Medicaid | NM | |
1679667059 | Medicaid | VA | |
C06778 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101248043 (Virginia) | Primary |
Entity Name | Mcv Associated Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Salman S Malik, MD 5855 Bremo Rd, Ste 506, Richmond, VA 23226-1925 Ph: (804) 520-6730 | Salman S Malik, MD 40 Medical Park Blvd, Suite B, Petersburg, VA 23805-9289 Ph: (804) 520-6730 |
Sasa-grae M Espino, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Medical Park Blvd Ste 275, Petersburg, VA 23805 Phone: 804-765-5905 Fax: 804-765-5925 | |
Amanda Marie Baright, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3335 S Crater Rd Ste 700, Petersburg, VA 23805 Phone: 804-765-5445 | |
Hong Jun, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Medical Park Blvd Ste B, Petersburg, VA 23805 Phone: 804-520-6730 Fax: 804-520-6731 |