Organization Active NPI

Shashi K Malik, MD, PC

  • Internal Medicine Physician
  • Lincoln Park, MI
National Provider Identifier
1124363080
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHASHI K MALIK, MD, PC
Practice address
2176 Fort St
Lincoln Park, MI 48146-2405
Phone
(313) 381-0713
NPI assigned
Dec 4, 2012
Organization subpart
Yes
Parent organization
SHASHI K MALIK, MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Shashi Kanta Malik, M.D.
Title
Owner
Phone
(313) 381-0713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2176 Fort St
Lincoln Park, MI 48146-2405

Mailing address

2176 Fort St
Lincoln Park, MI 48146-2405

National Provider Directory

National Provider Directory
Part of
Shahsi Kanta Malik MD P

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1124363080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405",
            "telephone_number": "313-381-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI K MALIK, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHASHI K MALIK, MD, PC",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "KANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-381-0713",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.