| Charru Malik, PT | |
|
1534 119th St, Whiting, IN 46394-1733 | |
| (219) 655-5285 | |
| (219) 655-5472 |
| Full Name | Charru Malik |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 1534 119th St, Whiting, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639263155 | NPI | - | NPPES |
| 000000491681 | Other | IN | ANTHEM - MBWOUDE |
| 000000491371 | Other | IN | ANTHEM - 1ST AID PLUS |
| 000000491408 | Other | IN | ANTHEM - APT PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05009076A (Indiana) | Primary |
| 225100000X | Physical Therapist | 5501012923 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Rehab Services Llc | 4981862075 | 2 |
| Provider Name | Genesis Rehab Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790062594 PECOS PAC ID: 4981862075 Enrollment ID: O20120221000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Charru Malik, PT 1534 119th St, Whiting, IN 46394-1733 Ph: (219) 864-3300 | Charru Malik, PT 1534 119th St, Whiting, IN 46394-1733 Ph: (219) 655-5285 |
Act Now Physical Therapy And Concussion Management Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2230 Indianapolis Blvd, Whiting, IN 46394 Phone: 312-504-1225 | |
Ms. Rita M. Krilich, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2633 New York Ave, Whiting, IN 46394 Phone: 219-659-2965 | |
Doctors On Call Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2075 Indianapolis Blvd, Whiting, IN 46394 Phone: 219-659-2255 Fax: 708-233-1232 |