Provider Demographics
NPI:1386605038
Name:MALIK, ZAFAR MAQSOOD (MD)
Entity type:Individual
Prefix:
First Name:ZAFAR
Middle Name:MAQSOOD
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1190 MOUNT AETNA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6833
Mailing Address - Country:US
Mailing Address - Phone:301-790-0666
Mailing Address - Fax:301-432-4010
Practice Address - Street 1:20311 LAPPANS RD
Practice Address - Street 2:
Practice Address - City:BOONSBORO
Practice Address - State:MD
Practice Address - Zip Code:21713-2037
Practice Address - Country:US
Practice Address - Phone:301-432-8470
Practice Address - Fax:301-432-4010
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0044996207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD651301800Medicaid
MD525LMedicare ID - Type Unspecified
MD651301800Medicaid