Basic Information
Provider Information
NPI: 1093713448
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MALIK
FirstName: ANUP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Practice Location
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Other Information
ProviderEnumerationDate: 07/11/2005
LastUpdateDate: 01/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD058162LPAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
082117200001 AMERIHEALTHOTHER
823120501 CIGNA HEALTHCAREOTHER
P240263701 OXFORD HEALTH PLANSOTHER
79631101 HIGHMARK BLUE SHIELDOTHER
001626775001305PA MEDICAID
186275701 UNITED HEALTHCAREOTHER
5001057201 CAPITAL BLUE CROSSOTHER
082117200001 INDEPENDENCE BLUE CROSSOTHER
082117200001 KEYSTONE HEALTH EASTOTHER
217055401 MAMSIOTHER
5001057201 KEYSTONE HEALTH CENTRALOTHER
6836801 GEISINGER HEALTH PLANOTHER


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