Shruti Malik, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

MD442548 Issued in MD

Practice address

12011 Lee Jackson Memorial Hwy Ste 302
Fairfax, VA 22033-3310

Phone

(703) 246-0500

Fax

(703) 246-0516

NPI assigned

Feb 27, 2009

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shady Grove Fertility Reproductive Science Center

  • Reproductive Endocrinology Physician
  • Rockville, MD
  • NPI 1891849832
  NPD (past)
• Shady Grove Reproductive Science Center PC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1437232758
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710127907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "216-832-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "703-246-0500",
            "fax_number": "703-246-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 Croghan Way",
            "address_purpose": "LOCATION",
            "city": "Copley",
            "state": "OH",
            "postal_code": "443213149",
            "country_code": "US",
            "telephone_number": "216-832-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13580 Groupe Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924163",
            "country_code": "US",
            "telephone_number": "703-680-1770",
            "fax_number": "703-680-3878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SHRUTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "MD442548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Malhotra, OTD, MSOTR/L
• Malib Care Inc
• Amtul M Malik, MD
• Anjali Malik, MD
• Pankaj Malik, M.D.
• Amri Ngoye Maliyatabu
• Jharna Mallik, CP
• Elisabeth Mallon, MSW
• Mae Malloy, RBT
• Prashanth A Mally, MD

• Reproductive Endocrinology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Reproductive Endocrinology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.