Active NPI
Komal a Malik, MD, PC
- Family Medicine Physician
- Laurel, MD
National Provider Identifier
1700215399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0067967
- Legal business name
- KOMAL A MALIK, MD, PC
- Practice address
- 8315 Cherry LN
Laurel, MD 20707-4830 - Phone
- (301) 604-7000
- Fax
- (301) 604-7005
- NPI assigned
- Nov 5, 2013
- 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
- Komal Anwar Malik, MD
- Title
- Owner
- Phone
- (301) 604-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0067967 | MD | Primary |
Addresses
Primary practice location
8315 Cherry LN
Laurel, MD 20707-4830
Mailing address
8315 Cherry LN
Laurel, MD 20707-4830
Phone (301) 604-7000
Other names 1
- Komal A Malik, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2084955 | Komal a Malik MD, PC | Certificate of waiver | Sep 9, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Laurel, MD
- NPI 1144796236
-
- Critical Care Medicine (Internal Medicine) Physician
- Glen Burnie, MD
- NPI 1649843962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383609600000",
"number": "1700215399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 CHERRY LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074830",
"telephone_number": "301-604-7000",
"fax_number": "301-604-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8315 CHERRY LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074830",
"telephone_number": "301-604-7000",
"fax_number": "301-604-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOMAL A MALIK, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "KOMAL",
"authorized_official_middle_name": "ANWAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-604-7000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D0067967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Komal A Malik, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.