| Shamim A Malik, MD | |
|
Delta Memorial Hospital, 811 Highway 65 South, Dumas, AR 71639 | |
| (870) 382-8234 | |
| (870) 382-6555 |
| Full Name | Shamim A Malik |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | Delta Memorial Hospital, Dumas, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518909605 | NPI | - | NPPES |
| E0062 | Other | AR | STATE LICENSE |
| 126148001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E0062 (Arkansas) | Primary |
| Entity Name | Delta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295767689 PECOS PAC ID: 1658262241 Enrollment ID: O20040323000890 |
| Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
| Entity Name | Delta Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643 |
| Entity Name | Delta Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295767689 PECOS PAC ID: 1658262241 Enrollment ID: O20061104000369 |
| Entity Name | Chenal Family Therapy PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamim A Malik, MD 1325 Heartwood St, White Hall, AR 71602 Ph: (870) 543-9820 | Shamim A Malik, MD Delta Memorial Hospital, 811 Highway 65 South, Dumas, AR 71639 Ph: (870) 382-8234 |