| Sudhir Malik, A Professional Medical Corporation | |
|
4033 3rd Ave Suite 206 San Diego CA 92103-2117 | |
| (619) 294-9292 | |
| (619) 294-3311 |
| Full Name | Sudhir Malik, A Professional Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4033 3rd Ave, San Diego, California |
| Authorized Official Name and Position | Sudhir Malik (PRESIDENT) |
| Authorized Official Contact | 6192949292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir Malik, A Professional Medical Corporation 4033 3rd Ave Suite 206 San Diego CA 92103-2117 Ph: (619) 294-9292 | Sudhir Malik, A Professional Medical Corporation 4033 3rd Ave Suite 206 San Diego CA 92103-2117 Ph: (619) 294-9292 |
| NPI Number | 1811340227 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 8729367040 |
|---|---|
| Medicare Enrollment ID | O20161109001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811340227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | C54773 (California) | Primary |
| Provider Name | Sudhir Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801884523 PECOS PAC ID: 2466407655 Enrollment ID: I20140612001246 |
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