Provider Demographics
NPI:1871766428
Name:MALIK, ANUJ (MD)
Entity type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1919 S WHEELING AVE
Mailing Address - Street 2:STE LL
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5638
Mailing Address - Country:US
Mailing Address - Phone:918-748-7665
Mailing Address - Fax:918-403-6404
Practice Address - Street 1:1919 S WHEELING AVE
Practice Address - Street 2:STE LL
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5638
Practice Address - Country:US
Practice Address - Phone:918-748-7665
Practice Address - Fax:918-403-6404
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK34483207R00000X, 207RB0002X, 207RI0200X
CAA 105346207RI0200X
TXN6470207RI0200X
GA074477207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine