Provider Demographics
NPI:1194993089
Name:MALIK, RUSHDAH SAEED (MD)
Entity type:Individual
Prefix:
First Name:RUSHDAH
Middle Name:SAEED
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:22301 FOSTER WINTER DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3707
Mailing Address - Country:US
Mailing Address - Phone:248-552-0620
Mailing Address - Fax:248-552-8602
Practice Address - Street 1:31500 TELEGRAPH RD
Practice Address - Street 2:STE 225
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4367
Practice Address - Country:US
Practice Address - Phone:248-552-0620
Practice Address - Fax:248-530-9899
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2014-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301087920207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1194993089Medicaid