Organization Active NPI

Syed Malik M.D P.a

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1154340347
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0032468 Issued in FL
Legal business name
SYED MALIK M.D P.A
Practice address
710 Governors Ave
Orlando, FL 32808-7640
Phone
(407) 749-6400
Fax
(407) 347-7013
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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) 749-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0032468 FL Primary

Addresses

Primary practice location

710 Governors Ave
Orlando, FL 32808-7640

Mailing address

710 Governors Ave
Orlando, FL 32808-7640
Phone (407) 749-6400

Other identifiers 4

IdentifierTypeStateIssuer
02008774OtherFLMEDICARE RAIL ROAD
K1119OtherFLMEDICARE PART B
02008774OtherFLPALMETO GBA
038138100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2501 N Orange Ave
Ste 213
Orlando, FL 32804
Phone (407) 894-4668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1389916800000",
    "number": "1154340347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GOVERNORS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087640",
            "telephone_number": "407-749-6400",
            "fax_number": "407-347-7013"
        },
        {
            "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": "407-749-6400",
            "fax_number": "407-347-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED MALIK M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "SHUJAAT",
        "authorized_official_first_name": "SANJEEDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-749-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0032468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "02008774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "K1119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "02008774",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038138100",
            "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 Jan 17, 2014; 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.