DR. IMRAN MALIK (NPI# 1104061704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104061704 |
| Entity Type | Individual |
| Full Name | DR. IMRAN MALIK |
| Credential | MBBS |
| Practice Address |
1400 W Park St Urbana IL 61801-2334 |
| Mailing Address |
2910 Artesia Xing Urbana IL 61802-6923 |
| Practice Telephone | 3153509133 |
| Mailing Telephone | 3153509133 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 336.097347 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760651285 | Imran Mushtaq Malik | Family Medicine | 8515 S Us Highway 1, Suite 3, Port St Lucie, FL 34952-3346 | 2008-02-28 |
| 1528596913 | Imran Malik | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2017-05-30 |
| Street Address |
1400 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801862461 | Shamim Sadiq | Internal Medicine | 1400 W Park St, Urbana, IL 61801-2334 | 2006-02-24 |
| 1548873938 | Audra Leigh Cisna | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-08-26 |
| 1689200750 | Holly Tompkins | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-03-20 |
| 1417419045 | Latifa Omran | Technician/Technologist | 1400 W Park St, Urbana, IL 61801-2334 | 2019-04-02 |
| 1588134084 | Lauren Dowd | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801 | 2018-11-28 |
| 1053801514 | Sarah Kristine Farison | Speech-Language Pathologist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1316437882 | Tian Lan | Physical Therapist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1659884476 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1093228835 | Osf Healthcare System | Ambulance | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1649783473 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997301 | Neena Tripathy | Pediatrics | 1818 E. Windsor Rd., Urbana, IL 61802-9566 | 2006-08-31 |
| 1326075128 | Latha Kumaraswamy | Pediatrics | 602 W University Ave # Ncw4, Urbana, IL 61801-2530 | 2006-06-27 |
| 1780629485 | Donald F. Davison, Jr. | Pediatrics | 602 W.university Avenue, Pediatrics, Urbana, IL 61801 | 2006-06-17 |
| 1245201607 | John Schuster | Pediatrics | 1710 E Windsor Rd, Urbana, IL 61802-9564 | 2006-02-01 |
| 1801145891 | Joseph O'connell | Pediatrics | 611 W Park St, Urbana, IL 61801-2529 | 2012-09-05 |
| 1245595453 | Vijeta Shukla | Pediatrics | 611 W Park St, Urbana, IL 61801 | 2012-07-13 |
| 1578828836 | Stefanie Anne Schroeder | Pediatrics | 1818 E. Windsor Rd, Urbana, IL 61802-9566 | 2012-07-11 |
| 1205190071 | Jon Paul Youakim | Pediatrics | 1818 E. Windsor Rd, Urbana, IL 61801-2500 | 2012-06-27 |
| 1043573876 | Ceena Philipose Paul | Pediatrics | 204 Patrick Ave, Urbana, OH 43078-2302 | 2012-06-18 |
| 1710249750 | Noelle Morey | Pediatrics | 611 W Park St, Urbana, IL 61801-2529 | 2012-06-14 |
| Find all providers in URBANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.