SHAHAB MALIK (NPI# 1932110640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932110640 |
| Entity Type | Individual |
| Full Name | SHAHAB MALIK |
| Credential | MD |
| 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 | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D0057742 | MD | 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 |
| 1740329507 | Shahab A Malik Md, LLC. | Pediatrics | 1414 Crain Hwy N, Unit 6a, Glen Burnie, MD 21061-7001 | 2007-02-06 |
| 1992854285 | Vijayalakshmi Nimmagadda | Obstetrics & Gynecology | 1414 Crain Hwy N, Glen Burnie, MD 21061-7001 | 2007-01-09 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1174160899 | Tonse N Raju | Pediatrics | 281 Shadow Glen Ct, Gaithersburg, MD 20878-7417 | 2019-12-01 |
| 1528301306 | Suneetha Desiraju | Pediatrics | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2013-03-31 |
| 1013277441 | Christine Capriolo | Pediatrics | 22 S Greene St # N4wicu, Baltimore, MD 21201-1544 | 2012-05-18 |
| 1235315581 | Bruce Ryland Boynton | Pediatrics | 4209 Newgate Ave, Canton Pier 11, Baltimore, MD 21224-6416 | 2008-01-17 |
| 1497966451 | Carl Elmer Hunt | Pediatrics | 8901 Wisconsin A Ve, Bethesda, MD 20889-5600 | 2007-05-24 |
| 1275549081 | Sepideh Nassabeh | Pediatrics | 3001 Hospital Drive, Neonatal Intensive Care Unit, Prince Georges Hospital, Cheverly, MD 20785 | 2006-08-01 |
| 1659388080 | Rodney Lee Levine | Pediatrics | 50 S Drive Msc 8012, Bethesda, MD 20892-0001 | 2006-08-01 |
| 1962446328 | Akhil Maheshwari | Pediatrics | 1800 Orleans St # 8s852, Baltimore, MD 21287 | 2006-06-16 |
| 1407816978 | Sita Kottapalli | Pediatrics | 5009 Honeygo Blvd, Suite 210, Perry Hall, MD 21128-9231 | 2006-03-27 |
| 1962486100 | Cathleen J Mcgrath | Pediatrics | 2401 Research Blvd, Suite 370, Rockville, MD 20850-3215 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| 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.