Provider Demographics
NPI:1679739411
Name:MALIK, MUHAMMAD ADNAN SALEEM (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ADNAN SALEEM
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1210 E PLANT ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2996
Mailing Address - Country:US
Mailing Address - Phone:407-297-8408
Mailing Address - Fax:407-297-8409
Practice Address - Street 1:1210 E PLANT ST
Practice Address - Street 2:SUITE 120
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-2996
Practice Address - Country:US
Practice Address - Phone:407-297-8408
Practice Address - Fax:407-297-8409
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007006280207R00000X
FLME112057207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL005547000Medicaid
FL14L61OtherBCBS
FLGF544Medicare PIN