Organization Active NPI

Malik & Qadir MD PA

  • Ph.D. Medical Genetics
  • Hagerstown, MD
National Provider Identifier
1003979717
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
MALIK & QADIR MD PA
Practice address
1190 Mount Aetna Rd Ste 202
Hagerstown, MD 21740-6833
Phone
(301) 790-0666
Fax
(301) 790-9764
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zafar M Malik
Title
President
Phone
(301) 432-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

1190 Mount Aetna Rd Ste 202
Hagerstown, MD 21740-6833

Mailing address

1190 Mount Aetna Rd Ste 202
Hagerstown, MD 21740-6833
Phone (301) 790-0666

Other practice location 1

20311 Lappans Rd Ste 100
Boonsboro, MD 21713-2037
Phone (301) 432-8470

Other identifiers 1

IdentifierTypeStateIssuer
651301800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019001274 MD Part B Supplier - Clinic/Group Practice 8224221536 Receives reassigned benefits from 5 practitioners
Practice locations: Hagerstown, MD; Boonsboro, MD

National Provider Directory

National Provider Directory

Locations

20311 Lappans Rd
Ste 100
Boonsboro, MD 21713
Phone (301) 432-8470

1190 Mount Aetna Rd
Ste 202
Hagerstown, MD 21740
Phone (301) 790-0666

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1003979717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD STE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-790-0666",
            "fax_number": "301-432-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD STE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-790-0666",
            "fax_number": "301-790-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20311 Lappans Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boonsboro",
            "state": "MD",
            "postal_code": "217132037",
            "country_code": "US",
            "telephone_number": "301-432-8470",
            "fax_number": "301-432-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALIK & QADIR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ZAFAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-432-8470"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651301800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.