Delta Neurodiagnostic Inc

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

DELTA NEURODIAGNOSTIC INC

Practice address

14099 Patterson Farm CT
Glenelg, MD 21737-9768

Phone

(443) 889-7470

Fax

(301) 604-7005

NPI assigned

Feb 20, 2019

Last updated

Mar 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Komal Malik, MD

Title

Authorized Official

Phone

(443) 889-7470

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anwar Asghar Malik, M.D.

  • Surgical Technologist
  • Glenelg, MD
  • NPI 1073719142
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1841756368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14099 PATTERSON FARM CT",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379768",
            "telephone_number": "443-889-7470",
            "fax_number": "301-604-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14099 PATTERSON FARM CT",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379768",
            "telephone_number": "443-889-7470",
            "fax_number": "301-604-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Northland Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480755214",
            "country_code": "US",
            "telephone_number": "443-889-7470",
            "fax_number": "301-604-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELTA NEURODIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "443-889-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Barajas
• Caremotion Transport LLC
• Timothy A Clark, PA-C
• Margaret Eileen Condon, CCC-SLP
• Wendy Cara Daulat, D.D.S
• Amar Ghodasara, PHARMD
• Joel Goodman, DDS
• Sunita Adhikari Gupta
• Pamela Inake, OTR
• JPP, L.C.

• Electroneurodiagnostic Specialist/Technologist in Glenelg, MD
• Providers in Glenelg, MD by specialty
• Electroneurodiagnostic Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.