Shashi Kanta Malik, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SM045356 Issued in MI

Practice address

2176 Fort St
Lincoln Park, MI 48146-2405

Phone

(313) 381-0713

Fax

(313) 381-1977

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: smalik61309@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shashi K Malik, MD, PC

  • Internal Medicine Physician
  • Lincoln Park, MI
  • NPI 1124363080
  Authorized official Same address or phone

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1386633931",
    "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",
            "telephone_number": "313-381-0713",
            "fax_number": "313-381-1977"
        },
        {
            "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",
            "fax_number": "313-381-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SHASHI",
        "middle_name": "KANTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SM045356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Macgregor, M.S. L.L.P.
• Tina Maddox
• Mahmood Khan M.D., P.C.
• Waseem Nidal Makki, D.D.S.
• Ankita S Mali, RPT
• Nicole Manthei, LLMSW
• Kelly Ann Marietti, LBSW, CAADC
• Stewart S Markofsky, DDS
• Shahetia Adedra Marsh, LLC
• Kathleen Ellen Martin IX, R.N.

• Internal Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Internal Medicine Physician in Michigan

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