Individual provider · Type 1 NPI

Fahd Ali Malik, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1083464036 Active

Practice location

1201 S Grand Blvd, Center For Specialized Medicinesaint Louis, Mo
St. Louis, MO 63104-1016

Call (314) 617-2359 Map

Mailing address

840 S Wood St Ste 100MC675
Chicago, IL 60612-4325

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2025026232 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083464036

Fahd Ali Malik, MD's National Provider Identifier is 1083464036, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2025.