Shahab Malik, MD | |
1403 Madison Park Dr Ste 100, Glen Burnie, MD 21061-6292 | |
(410) 582-9630 | |
(410) 582-9653 |
Full Name | Shahab Malik |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1403 Madison Park Dr Ste 100, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932110640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | D0057742 (Maryland) | Primary |
Entity Name | Medstar Medical Group Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
---|---|
Shahab Malik, MD 1414 Crain Hwy N, Unit 6a, Glen Burnie, MD 21061-7001 Ph: (410) 582-9630 | Shahab Malik, MD 1403 Madison Park Dr Ste 100, Glen Burnie, MD 21061-6292 Ph: (410) 582-9630 |
Dr. Stephen Joseph Hittman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 Fax: 410-595-1914 | |
Astrid Rivera Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6622b Ritchie Hwy Arundel Plaza,, Glen Burnie, MD 21061 Phone: 443-912-5437 | |
Jessica S Kosut, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4565 Fax: 410-766-7602 | |
Sushma Bhasin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 331 Oak Manor Dr, Glen Burnie, MD 21061 Phone: 410-768-0700 Fax: 410-768-1143 | |
Dr. Padma M Lala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Ste 3a, Glen Burnie, MD 21061 Phone: 410-766-7800 Fax: 410-766-7855 | |
Dr. Harini Sankhavaram Prasanna, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Dr, 204, Glen Burnie, MD 21061 Phone: 410-768-8525 Fax: 410-768-9757 | |
D R Fitzgerald, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4565 Fax: 410-766-7602 |