Raza Malik, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33395 Issued in KY

Legal business name

RAZA MALIK, MD, INC.

Practice address

1528 Yorkshire Dr
Elizabethtown, KY 42701-9191

Phone

(270) 360-9170

NPI assigned

Dec 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raza A Malik, MD

Title

Owner

Phone

(270) 360-9170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1013253756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 YORKSHIRE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019191",
            "telephone_number": "270-360-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 YORKSHIRE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019191",
            "telephone_number": "270-360-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA MALIK, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RAZA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-360-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Lee Ramsey V, PHARMD, BCPS
• Katrina Nicole Raneses, DMD
• Nicholas V Raub
• Erica Ray, CRNA
• Teresa Anne Ray, CFA
• Edward Felix Razo II, TCADC BSW
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• Cheryl J Redd

• Internal Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.