Provider Demographics
NPI:1992903330
Name:MALIK, SALMA (MD,MS)
Entity type:Individual
Prefix:DR
First Name:SALMA
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD,MS
Other - Prefix:DR
Other - First Name:SALMA
Other - Middle Name:
Other - Last Name:RAHIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,MS
Mailing Address - Street 1:200 RETREAT AVENUE
Mailing Address - Street 2:HARTFORD HOSPITAL CHILD PSYCHIATRY
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3309
Mailing Address - Country:US
Mailing Address - Phone:860-545-7239
Mailing Address - Fax:
Practice Address - Street 1:200 RETREAT AVENUE
Practice Address - Street 2:HARTFORD HOSPITAL CHILD PSYCHIATRY
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3309
Practice Address - Country:US
Practice Address - Phone:860-545-7239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0441432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry