DR. FAHD ALI MALIK MD
NPI 1083464036
Student in an Organized Health Care Education/Training Program in Saint Louis, MO
About Dr. Fahd Ali Malik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FAHD ALI MALIK MD (NPI 1083464036) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2025026232) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Fahd Ali Malik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fahd Malik's NPI number?
The NPI number for Fahd Malik is 1083464036. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Fahd Malik located?
Fahd Malik practices at 1201 S Grand Blvd Center For Specialized Medicinesaint Louis, Mo, Saint Louis, MO 63104. The listed phone number is (314) 617-2359.
What is Fahd Malik's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Fahd Malik enrolled in Medicare?
Yes. Fahd Malik is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Fahd Malik was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Fahd Ali Malik, MD · NPI 1083464036
Student in an Organized Health Care Education/Training Program provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1083464036 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 2025026232 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S GRAND BLVD, CENTER FOR SPECIALIZED MEDICINESAINT LOUIS, MO, Saint Louis, MO 63104-1016
- **Phone:** (314) 617-2359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083464036) · Data from the CMS NPPES public registry.