Active NPI
Razia B Malik PA
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1144249335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0040132
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47609A | Other | FL | MEDIARE PART B |
National Provider Directory
National Provider DirectoryNPI 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.