Shaista Malik, is a
Anesthesiology physician based in Peru, Illinois. Shaista Malik is licensed to practice in Illinois (license number ) and her current practice location is 925 West St, Peru, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 223-3300.
NPI number for Shaista Malik is 1407965585 and her current mailing address is 925 West St, Peru, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407965585.
Physician's Profile
| Full Name | Shaista Malik |
|---|
| Gender | Female |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 925 West St, Peru, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407965585
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Shaista Malik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407965585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaista Malik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shaista Malik, 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 | Shaista Malik, 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 |
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