Maham Malik, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

111 N Washington Ave FL 1
Scranton, PA 18503-1841

Phone

(570) 591-5153

Fax

(570) 343-4800

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1366091480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 REYNOLDS RD APT M12",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901394",
            "telephone_number": "951-403-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WASHINGTON AVE FL 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031841",
            "telephone_number": "570-591-5153",
            "fax_number": "570-343-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aamir Makda, M.D.
• Rachel Malachowski, CRNA
• Katherine Lizeth Maldonado
• Lisbet Ivellise Maldonado
• Joseph Malek
• Jennifer M Malinowski, PHARM.D.
• Pujita Mallampalli, MBBS
• Rishi Priyanka Mallampalli
• Sanja Jovanovska Mallare, MD
• Deobrat Chandra Mallick, M.D.

• Student in an Organized Health Care Education/Training Program in Scranton, PA
• Providers in Scranton, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.