Simee I Malik, MD | |
9485 Mentor Avenue, #101, Mentor, OH 44060 | |
(440) 205-5800 | |
(440) 205-5801 |
Full Name | Simee I Malik |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9485 Mentor Avenue, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437265766 | NPI | - | NPPES |
2185157 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35-076144 (Ohio) | Primary |
Entity Name | Lake Hospital System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Mailing Address | Practice Location Address |
---|---|
Simee I Malik, MD 7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176 Ph: (440) 354-1899 | Simee I Malik, MD 9485 Mentor Avenue, #101, Mentor, OH 44060 Ph: (440) 205-5800 |
Diane M Lester, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9485 Mentor Avenue, 101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801 | |
Barbara L Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Avenue, #101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801 | |
Joy Ertel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173 | |
Zhuo Tina Yang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7060 Wayside Dr, Mentor, OH 44060 Phone: 440-357-2770 | |
Nancy L Albanese, CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481 | |
Laura A. Cifra-bean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9485 Mentor Ave, #101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801 |