Organization Active NPI

Razia B Malik PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1144249335
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0040132 Issued in FL
Legal business name
RAZIA B MALIK PA
Practice address
710 Governors Ave
Orlando, FL 32808-7640
Phone
(407) 877-8292
Fax
(407) 877-8685
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Mrs. Sanjeeda Shujaat
Title
Billing Manager
Phone
(407) 877-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0040132 FL Primary

Addresses

Primary practice location

710 Governors Ave
Orlando, FL 32808-7640

Mailing address

PO Box 150250
Altamonte Springs, FL 32715-0250
Phone (407) 877-8292

Other identifiers 1

IdentifierTypeStateIssuer
47609AOtherFLMEDIARE PART B

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1144249335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150250",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327150250",
            "telephone_number": "407-877-8292",
            "fax_number": "407-877-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GOVERNORS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087640",
            "telephone_number": "407-877-8292",
            "fax_number": "407-877-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZIA B MALIK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "SHUJAAT",
        "authorized_official_first_name": "SANJEEDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-877-8292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0040132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PART B",
            "identifier": "47609A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.