Awais Malik MD Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049851 Issued in CT

Legal business name

AWAIS MALIK MD FAMILY MEDICINE, LLC

Practice address

470 Bridgeport Ave # J
Milford, CT 06460-4167

Phone

(203) 693-3676

Fax

(203) 876-9334

NPI assigned

Dec 3, 2012

Last updated

Dec 3, 2012By 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

Awais Malik, M.D.NPI 1508025594

Title

Managing Physician

Phone

(203) 693-3676

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Awais Malik, M.D.

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1508025594
  NPD (past) Authorized official
• Vicki Sara Blumberg, M.D.

  • Internal Medicine Physician
  • Ridgefield, CT
  • NPI 1922379296
  NPD (past)
• Patrick Brew, APRN

  • Family Nurse Practitioner
  • Brookfield, CT
  • NPI 1265846927
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1881939858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BRIDGEPORT AVE # J",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604167",
            "telephone_number": "203-693-3676",
            "fax_number": "203-876-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BRIDGEPORT AVE # J",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604167",
            "telephone_number": "203-693-3676",
            "fax_number": "203-876-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAIS MALIK MD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AWAIS",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "203-693-3676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "049851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Milford, CT
• Providers in Milford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.