Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101232041 | VA |
N | 111NI0900X | Internist | 0101232041 | VA |
N | 207RH0003X | Hematology & Oncology | 22075 | DC |
Y | 207RX0202X | Medical Oncology | 0101232041 | VA |
NPI | 1124027768 |
---|---|
Provider Name | Shakuntala Munshi Malik |
First Address | Baltimore, MD 21263-1856 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34671 | (02) | DC |