Provider Demographics
NPI:1679560684
Name:MALIK, AMER B (MD)
Entity type:Individual
Prefix:DR
First Name:AMER
Middle Name:B
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:DEPT 3010, PO BOX 986524
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02298-6524
Mailing Address - Country:US
Mailing Address - Phone:401-443-4992
Mailing Address - Fax:401-537-7241
Practice Address - Street 1:375 WAMPANOAG TRL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2232
Practice Address - Country:US
Practice Address - Phone:401-649-4030
Practice Address - Fax:401-649-4031
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2024-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD07845207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9006588Medicaid
RI007057471Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
RI9006588Medicaid