Shahab a Malik MD, LLC.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SHAHAB A MALIK MD, LLC.

Practice address

1403 Madison Park Dr Ste 100
Glen Burnie, MD 21061-6292

Phone

(410) 582-9630

Fax

(410) 582-9653

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shahab Asghar Malik, M.D.NPI 1932110640

Title

Chairman

Phone

(410) 582-9630

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahab Malik, MD

  • Neonatal-Perinatal Medicine Physician
  • Glen Burnie, MD
  • NPI 1932110640
  NPD Authorized official
• Heejung Park, CPNP-PC

  • Pediatric Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1326822669
  NPD
• Erin Freitas, CRNP

  • Pediatric Nurse Practitioner
  • Gambrills, MD
  • NPI 1902238256
  NPD (past)
• Lauren Palank Sobotka, MSN, RN, CPNP-PC

  • Primary Care Nurse Practitioner
  • Hunt Valley, MD
  • NPI 1346645926
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1740329507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MADISON PARK DR STE 100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616292",
            "telephone_number": "410-582-9630",
            "fax_number": "410-582-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MADISON PARK DR STE 100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616292",
            "telephone_number": "410-582-9630",
            "fax_number": "410-582-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHAB A MALIK MD, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_middle_name": "ASGHAR",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "410-582-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698105400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Opemipo Shadare, DNP
• Asma Roohi Shah, R.PH., MBA.
• Manish H Shah
• Rizwan Akhtar Shah, R.PH.,M.S.
• Saureen Shah, DDS
• Naomi N Shaikh, MD
• Jamilah Malak Shakir-Reese, MD
• Bhavana Sharma, M.D.
• Sabita Sharma, M.D.
• Susheel K Sharma, M.D.

• Pediatrics Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.