Active NPI
Ghaus M Malik, MD
- Infectious Disease Physician
- Lodi, CA
National Provider Identifier
1104861376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A336430
- Practice address
- 12945 N Highway 88
Lodi, CA 95240-9323 - Phone
- (209) 334-3923
- Fax
- (209) 334-3985
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A336430 | CA | Primary |
Addresses
Primary practice location
12945 N Highway 88
Lodi, CA 95240-9323
Mailing address
12945 N Highway 88
Lodi, CA 95240-9323
Phone (209) 334-3923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A336430 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420243200000",
"number": "1104861376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12945 N HIGHWAY 88",
"city": "LODI",
"state": "CA",
"postal_code": "952409323",
"telephone_number": "209-334-3923",
"fax_number": "209-334-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12945 N HIGHWAY 88",
"city": "LODI",
"state": "CA",
"postal_code": "952409323",
"telephone_number": "209-334-3923",
"fax_number": "209-334-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "GHAUS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2015-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A336430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.