Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 254253 | NY |
N | 111NI0900X | Internist | 254253 | NY |
N | 207RH0000X | Hematologist | 254253 | NY |
Y | 207RH0003X | Hematology & Oncology | 254253 | NY |
N | 207RX0202X | Medical Oncology | 254253 | NY |
NPI | 1154484525 |
---|---|
Provider Name | Dr. Sandeep Malik |
First Address | Bronx, NY 10461-2507 |
Second Address | Bronx, NY 10453-8202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 18/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H29756 | (02) |