Active NPI
Kauser Malik, MD
- Pediatrics Physician
- Canton, MI
National Provider Identifier
1497816623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301071909
- Practice address
- 6492 N Canton Center Dr
Canton, MI 48187-2660 - Phone
- (734) 254-1900
- Fax
- (734) 254-1951
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301071909 | MI | Primary |
Addresses
Primary practice location
6492 N Canton Center Dr
Canton, MI 48187-2660
Mailing address
6492 N Canton Center Dr
Canton, MI 48187-2660
Phone (734) 254-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301071909 | Other | MI | STATE LICENSE NUMBER |
| BM8112156 | Other | MI | CONTROLLED STATE REGISTRA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301071909 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton Center Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Canton, MI
- NPI 1487782462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1497816623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6492 N CANTON CENTER DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481872660",
"telephone_number": "734-254-1900",
"fax_number": "734-254-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6492 N CANTON CENTER DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481872660",
"telephone_number": "734-254-1900",
"fax_number": "734-254-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "KAUSER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301071909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4301071909",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED STATE REGISTRA",
"identifier": "BM8112156",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.