Sudhir Malik, a Professional Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C54773 Issued in CA

Legal business name

SUDHIR MALIK, A PROFESSIONAL MEDICAL CORPORATION

Practice address

4033 3Rd Ave
Suite 206
San Diego, CA 92103-2117

Phone

(619) 294-9292

Fax

(619) 294-3311

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Sudhir Malik, M.D.NPI 1801884523

Title

President

Phone

(619) 294-9292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Sudhir Malik, MD

  • Neurology Physician
  • San Diego, CA
  • NPI 1801884523
  Medicare reassignment Care Compare group NPD Authorized official
• Sahana Malik, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1003444506
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1811340227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-294-9292",
            "fax_number": "619-294-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-294-9292",
            "fax_number": "619-294-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR MALIK, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-294-9292",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C54773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisha Sudan, DDS
• Laura Sudano, MFT
• Janice Pentewstes Sudaria, M.D
• Lesley Sudduth, MHS, PA-C
• David J Suder, O.D.
• Justine Renae Sudlow
• Jason Sudo, PHARMD
• Sue E. Shrader,MFT
• David Sue
• Susan E Sue, P.T

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.