Provider Demographics
NPI:1447466552
Name:MALIK, SURESH (MD)
Entity type:Individual
Prefix:DR
First Name:SURESH
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 W EDMONSTON DR STE 404
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1274
Mailing Address - Country:US
Mailing Address - Phone:301-762-7723
Mailing Address - Fax:833-989-2090
Practice Address - Street 1:50 W EDMONSTON DR STE 404
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1274
Practice Address - Country:US
Practice Address - Phone:301-762-3721
Practice Address - Fax:833-989-2090
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066284208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist