Shahid Malik MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101236201 Issued in VA

Legal business name

SHAHID MALIK MD PC

Practice address

3299 Woodburn Rd Ste 350
Annandale, VA 22003-7321

Phone

(703) 573-0086

Fax

(703) 620-6628

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Shahid Malik, MDNPI 1912927161

Title

President

Phone

(703) 573-0086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahid Nasir Malik, MD

  • Hospitalist Physician
  • Johnson City, NY
  • NPI 1912927161

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023034436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201721718",
            "telephone_number": "703-573-0086",
            "fax_number": "703-620-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 350",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037321",
            "telephone_number": "703-573-0086",
            "fax_number": "703-620-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID MALIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-573-0086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101236201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sellati & Co., Inc. (Annandale Comprehensive Treatment Center)
• Temesgen Semere
• Sensory Angels ABA
• Ansley Shackelford, LPC, NCC
• Shabnam Shahabadi, MD
• Amir H Shahlaee, MD
• Sarah Saghir Shami, PHARM D
• McKayla McCoy Sharer
• Kayla Shaughnessy
• Laura Douse Shernit, WHNP

• Specialist in Annandale, VA
• Providers in Annandale, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.