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SHAHAB A MALIK MD, LLC.
NPI 1740329507
Pediatrics in Glen Burnie, MD

Active since February 06, 2007
1403 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061(410) 582-9630(410) 582-9653 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Shahab A Malik Md, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHAB A MALIK MD, LLC. (NPI 1740329507) is a healthcare organization registered as a pediatrics in Glen Burnie, Maryland and active in the NPI registry since February 2007. The organization lists Shahab Asghar Malik, Chairman, as its authorized official.

NPPES Registry Identity

NPI1740329507
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHAHAB A MALIK MD, LLC.
Location Address1403 MADISON PARK DR STE 100Glen Burnie, MD 21061-6292
Mailing Address1403 Madison Park Dr Ste 100Glen Burnie, MD 21061-6292 · (410) 582-9630 · Fax (410) 582-9653
Phone(410) 582-9630
Fax(410) 582-9653
Organization SubpartNo
Authorized OfficialShahab Asghar MalikChairman · (410) 582-9630
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1740329507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
1403 MADISON PARK DR STE 100, Glen Burnie, MD 21061
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Other Identifiers 1

Medicaid698105400MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2152910

Shahab A Malik MD LLC · Glen Burnie, MD
Expired · Aug 19, 2026
CLIA Number21D2152910
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorShahab A. Malik MD
Laboratory Phone(410) 582-9630
Laboratory LocationShahab A Malik MD LLC1403 Madison Park Drive Suite 100, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEEJUNG PARK CPNP-PC
Nurse Practitioner (Pediatrics)
1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061
Anne Arundel County (410) 582-9630
SHAHAB MALIK MD
Pediatrics (Neonatal-Perinatal Medicine)
1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061
Anne Arundel County (410) 582-9630

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 Shahab A Malik MD, LLC.'s NPI number?

The NPI number for Shahab A Malik MD, LLC. is 1740329507. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Shahab A Malik MD, LLC. located?

Shahab A Malik MD, LLC. is located at 1403 Madison Park Dr Ste 100, Glen Burnie, MD 21061. The listed phone number is (410) 582-9630.

What is Shahab A Malik MD, LLC.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Shahab A Malik MD, LLC. was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.