| Shahid Nasir Malik, MD | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6622 | |
| (607) 763-5064 |
| Full Name | Shahid Nasir Malik |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 33-57 Harrison St, Johnson City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912927161 | NPI | - | NPPES |
| 02838728 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 242672 (New York) | Secondary |
| 207R00000X | Internal Medicine | 0101236201 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 074862 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahid Nasir Malik, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 729-8156 | Shahid Nasir Malik, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6622 |
Alexander Williams, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Dr. Abdul Muqeet Javed, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064 | |
Michelle Maria Matheson, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Carolyn Diane Crispell, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064 | |
Mark Paul Speicher, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Hospitalist Dept, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064 | |
Dr. Muhammad Junaid Niaz, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Irfan Khan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-778-3938 Fax: 607-778-2873 |