SHAHAB A MALIK MD, LLC. (NPI# 1740329507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740329507 |
| Entity Type | Organization |
| Organization Name | SHAHAB A MALIK MD, LLC. |
| Practice Address |
1414 Crain Hwy N Unit 6a Glen Burnie MD 21061-7001 |
| Practice Telephone | 4105829630 |
| Practice Fax Number | 4105829653 |
| Mailing Telephone | 4105829630 |
| Mailing Fax Number | 4105829653 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHAHAB ASGHAR MALIK (CHAIRMAN) |
| Authorized Official Telephone | 4105829630 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1414 CRAIN HWY N UNIT 6A |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730144668 | Linda Dianne Oaks | Obstetrics & Gynecology | 1414 Crain Hwy N, Unit 3a, Glen Burnie, MD 21061-7001 | 2006-04-20 |
| 1578778585 | Lawrence Vidaver | Internal Medicine | 1414 Crain Hwy N, Ste 6a, Glen Burnie, MD 21061-7001 | 2007-05-12 |
| 1992854285 | Vijayalakshmi Nimmagadda | Obstetrics & Gynecology | 1414 Crain Hwy N, Glen Burnie, MD 21061-7001 | 2007-01-09 |
| 1932110640 | Shahab Malik | Pediatrics | 1414 Crain Hwy N, Unit 6a, Glen Burnie, MD 21061-7001 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423914 | Holly L Mathews | Pediatrics | 1410 Crain Hwy N Ste 5a, Glen Burnie, MD 21061-9305 | 2018-10-23 |
| 1306902119 | Cristeta Lorica Gatdula | Pediatrics | 202 Hospital Dr, Glen Burnie, MD 21061-5802 | 2006-12-28 |
| 1275560732 | Youn and Mannan LLC | Pediatrics | 1410 Crain Highway North, Unit 5a, Glen Burnie, MD 21061 | 2006-06-28 |
| 1861437865 | Dae Hoon Lee | Pediatrics | 1406 B South Crain Highway, #307, Glen Burnie, MD 21061 | 2006-06-17 |
| 1275585291 | Savita Singal | Pediatrics | 415 Crain Hwy S, Glen Burnie, MD 21061-3644 | 2006-05-17 |
| 1982668844 | Arif Mannan | Pediatrics | 1410 Crain Hwy N, Suite 5a, Glen Burnie, MD 21061-9303 | 2006-04-17 |
| 1396704706 | Naomi N Shaikh | Pediatrics | 1405 Madison Park Dr, Suite 1, Glen Burnie, MD 21061-5627 | 2006-03-23 |
| 1427021112 | Lisa Antoinette Horton | Pediatrics | 7310 Ritchie Hwy, Suite 516, Glen Burnie, MD 21061-3065 | 2006-02-11 |
| 1619427978 | Lifebridge Suburban Physician Group II LLC | Pediatrics | 1405 Madison Park Dr, Suite 1, Glen Burnie, MD 21061-5627 | 2016-10-11 |
| 1497132930 | Boram Ji | Pediatrics | 301 Hospital Dr, Glen Burnie, MD 21061 | 2015-05-05 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.