DR. PAVAN MALIK

Address: 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824
Phone: 2159556161

DR. PAVAN MALIK (NPI# 1699791186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699791186
Entity Type 1 - Individual
Full Name DR. PAVAN MALIK
Credential MD, MBA
Practice Address 111 S. 11th Street
Suite 8490
Philadelphia
PA 19107-4824
Practice Telephone 2159556161
Practice Fax Number 2159235507
Enumeration Date 07/15/2006
Last Update Date 05/02/2017
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology MD418174 PA Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology C1-0007233 DE Allopathic & Osteopathic Physicians

Office Location

Street Address 111 S. 11TH STREET
SUITE 8490
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers with the same location

NPI Name Address
1730135393 DR. VOICHITA BAR AD 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107
1205876356 JANET E. LARSON 111 S. 11th Street, Philadelphia, PA 19107-4824
1669405346 DR. CHARLES M. INTENZO 111 S. 11th Street, Suite 3390, Philadelphia, PA 19107-4824
1023104411 ZUBAIRUL HASAN AGHAI 111 S. 11th Street, Philadelphia, PA 19107-4824
1295809960 DR. KENT BRADLEY BERG 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824
1659430965 DR. NICOLE L SIMONE 111 S. 11th Street, Bodine Center for Cancer Treatment, Philadelphia, PA 19107-4824
1194854851 MAGEE L. DEFELICE 111 S. 11th Street, Philadelphia, PA 19107-4824
1477754240 CANDACE M. PRATT 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824
1669677175 DR. SUZANNE S LONG 111 S. 11th Street, Suite 3390, Philadelphia, PA 19107-4824
1841499738 DR. KRISTEN ELIZABETH MCCLURE 111 S. 11th Street, Suite 3390, Philadelphia, PA 19107-4824

Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.