Provider Demographics
NPI:1912911587
Name:MALIK, SALMAN (MD)
Entity type:Individual
Prefix:
First Name:SALMAN
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3207
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-9207
Mailing Address - Country:US
Mailing Address - Phone:940-384-9000
Mailing Address - Fax:940-891-1415
Practice Address - Street 1:1403 N ELM ST STE 1403
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3089
Practice Address - Country:US
Practice Address - Phone:940-384-9000
Practice Address - Fax:940-891-1415
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2699207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17804391Medicaid
TX8U7110OtherBCBS
8F2029Medicare ID - Type Unspecified
TX17804391Medicaid