Provider Demographics
NPI:1437265766
Name:MALIK, SIMEE I (MD)
Entity type:Individual
Prefix:
First Name:SIMEE
Middle Name:I
Last Name:MALIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3325
Mailing Address - Country:US
Mailing Address - Phone:330-650-4170
Mailing Address - Fax:
Practice Address - Street 1:5800 LANDERBROOK DR STE 250
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4047
Practice Address - Country:US
Practice Address - Phone:440-544-1940
Practice Address - Fax:440-544-1944
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-076144208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2185157Medicaid
H03166Medicare UPIN
OH2185157Medicaid