Active NPI
Qudsia Iqbal Malik, M.D.
- Family Medicine Physician
- Lansdowne, VA
National Provider Identifier
1871601138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101232381
- Practice address
- 19450 Deerfield Ave
Suite 150
Lansdowne, VA 20176-6820 - Phone
- (703) 858-9192
- Fax
- (703) 858-9442
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101232381 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Ave
Suite 150
Lansdowne, VA 20176-6820
Mailing address
19450 Deerfield Ave
Suite 150
Lansdowne, VA 20176-6820
Phone (703) 858-9192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010133688 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1811204050
-
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- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871601138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE",
"address_2": "SUITE 150",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201766820",
"telephone_number": "703-858-9192",
"fax_number": "703-858-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE",
"address_2": "SUITE 150",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201766820",
"telephone_number": "703-858-9192",
"fax_number": "703-858-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "QUDSIA",
"middle_name": "IQBAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101232381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010133688",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.