Shahid Ahmed Malik
Pediatric Hematology-Oncologist
2018 Clinch Avenue
Knoxville
, Tennessee 37916-2301
Shahid Ahmed Malik
Pediatric Hematology-Oncologist
2018 Clinch Avenue
Knoxville
, Tennessee 37916-2301
(865) 541-8553
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Shahid Ahmed Malik
- Po Box 15010
- Knoxville, TN
- Zip : 37901-5010
- Fax : (865) 541-8553
- Phone : (865) 541-8266
Second Address
- Shahid Ahmed Malik
- 2018 Clinch Avenue
- Knoxville, TN
- Zip : 37916-2301
- Fax : (865) 541-8553
- Phone : (865) 541-8266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | MD0000024922 | TN |
National Provider Identifier
| NPI | 1023030657 |
|---|---|
| Provider Name | Shahid Ahmed Malik |
| First Address | Knoxville, TN 37901-5010 |
| Second Address | Knoxville, TN 37916-2301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 172804 | BLUE CROSS BLUE SHIELD (01) | TN |
| 172804 | BLUECARE (01) | TN |
| 172804 | TENNCARE SELECT (01) | TN |
| 3078570 | (05) | TN |
| 64925449 | (05) | KY |
| F68001 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.