Pavan Malik Anesthesiology
111 S 11th St, Philadelphia, PA 19107-4824


Pavan Malik is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1699791186. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2163335613. The medical credential is MD. The primary specialty is ANESTHESIOLOGY. The organization is JEFFERSON UNIVERSITY PHYSICIANS. The address is 111 S 11th St, Philadelphia, PA 19107-4824. The zip code is 19107.


Pavan Malik · 111 S 11th St, Philadelphia, PA 19107-4824

Nation Provider ID 1699791186
PAC ID by PECOS 2163335613
Professional Enrollment ID I20031111000009
Last Name MALIK
First Name PAVAN
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1997
Primary Specialty ANESTHESIOLOGY
Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT
Primary Specialty JEFFERSON UNIVERSITY PHYSICIANS
Phone Number 2159556161
Group Practice PAC ID 7911819180
Number of Group Practice Members 930
Address 111 S 11TH ST
PHILADELPHIA, PA 191074824
Claims Based Hospital Affiliation Claim Control Number (CCN): 390174
Legal Business Name: THOMAS JEFFERSON UNIVERSITY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 390156
Legal Business Name: MERCY FITZGERALD HOSPITAL
Professional accepts Medicare Assignment Y

street_number: 111
route: South 11th Street (S 11th St)
neighborhood, political: Center City
locality, political: Philadelphia
admin_level_2, political: Philadelphia County
admin_level_1, political: Pennsylvania (PA)
country, political: United States (US)
postal_code: 19107
postal_code_suffix: 4824
types : street_address
latitude: 39.9498262
longitude: -75.1584227
latlng: (39.9498262, -75.1584227)


Jefferson University Physicians · Medicare Physician

Name Address Specialty
Julie Karp 925 Chestnut St, Philadelphia, PA 19107-4204 PATHOLOGY
Young Kauh 833 Chestnut St E, Philadelphia, PA 19107-5102 DERMATOLOGY
Rebecca Jackson 834 Chestnut St, Philadelphia, PA 19107-5127 OBSTETRICS/GYNECOLOGY
Edith Mitchell 925 Chestnut St, Philadelphia, PA 19107-4216 MEDICAL ONCOLOGY
Michelle Smith 909 Walnut St, Philadelphia, PA 19107-5211 NEUROSURGERY
Bo Lu 925 Chestnut St, Philadelphia, PA 19107-4216 RADIATION ONCOLOGY
Michael Savage 925 Chestnut St, Philadelphia, PA 19107-4204 INTERVENTIONAL CARDIOLOGY
Thomas Klein 925 Chestnut St, Philadelphia, PA 19107-4216 OBSTETRICS/GYNECOLOGY
Joanna Rodriguez 925 Chestnut St, Philadelphia, PA 19107-4216 HEMATOLOGY/ONCOLOGY
Yoogoo Kang 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Angela Gopez 111 S 11th St, Philadelphia, PA 19107-5098 DIAGNOSTIC RADIOLOGY
Sandra Dayaratna 833 Chestnut St E, Philadelphia, PA 19107-5102 OBSTETRICS/GYNECOLOGY
Goran Rakocevic 909 Walnut St, Philadelphia, PA 19107-5211 NEUROLOGY
Emily Lorber 925 Chestnut St, Philadelphia, PA 19107-4201 NURSE PRACTITIONER
Albert Lee 925 Chestnut St, Philadelphia, PA 19107-4204 INTERNAL MEDICINE
Kristina Witter 2301 S Broad St, Philadelphia, PA 19148-3542 NURSE PRACTITIONER
Brian Ohara 132 S 10th St, Philadelphia, PA 19107-5244 PATHOLOGY
Timothy Ambrose 909 Walnut St, Philadelphia, PA 19107-5211 NEUROLOGY
Paul Walinsky 925 Chestnut St, Philadelphia, PA 19107-4204 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Cecilia Kelly 1300 Wolf St, Philadelphia, PA 19148-2912 GASTROENTEROLOGY

Zip 19107 · Anesthesiology · Medicare Physician

Name Address Specialty
Michael Williams 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Howard Schwartz 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY
Marc Kaufmann 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Elizabeth Wolo 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Sarah Clarke 900 Walnut St 2nd Floor, Philadelphia, PA 19107-5509 ANESTHESIOLOGY
Evangelos Andonakakis 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Patricia Veloso 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY
Jordan Goldhammer 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Anthony Thornton 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY
Said Sharifi-azad 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Dajie Wang 834 Chestnut St, Philadelphia, PA 19107-5127 ANESTHESIOLOGY
Nicole Renaldi 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Courtney Wells 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY
David Beausang 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Zvi Grunwald 900 Walnut St 2nd Floor, Philadelphia, PA 19107-5509 ANESTHESIOLOGY
David Berman 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY
Coleen Vernick 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Elaine Kilmartin 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Bruce Asam 111 S 11th St, Philadelphia, PA 19107-4824 ANESTHESIOLOGY
Miriam Zentner 800 Spruce St, Philadelphia, PA 19107-6130 ANESTHESIOLOGY

Zip 19107 · Medicare Physician

Name Address Specialty
Patrick Greaney 840 Walnut St, Philadelphia, PA 19107-5109 PLASTIC AND RECONSTRUCTIVE SURGERY
Gregory Deirmengian 925 Chestnut St, Philadelphia, PA 19107-4201 ORTHOPEDIC SURGERY
Kathryn Gruber 805 Locust St, Philadelphia, PA 19107-5507 NURSE PRACTITIONER
Marla Grutkowski 800 Spruce St, Philadelphia, PA 19107-6130 CERTIFIED REGISTERED NURSE ANESTHETIST
Laurie Gocial 800 Spruce St, Philadelphia, PA 19107-6130 CERTIFIED REGISTERED NURSE ANESTHETIST
Geno Merli 925 Chestnut St, Philadelphia, PA 19107-4216 INTERNAL MEDICINE
Lisa Bowman 909 Walnut St, Philadelphia, PA 19107-5211 NURSE PRACTITIONER
Susan Gerber 800 Walnut Street 14th Fl, Philadelphia, PA 19107-5109 ENDOCRINOLOGY
Sean Rowland 800 Spruce St, Philadelphia, PA 19107-6130 CERTIFIED REGISTERED NURSE ANESTHETIST
Lawrence Kenney 840 Walnut St, Philadelphia, PA 19107-5109 OPHTHALMOLOGY
Erin Gallagher 800 Spruce St, Philadelphia, PA 19107-6130 CERTIFIED REGISTERED NURSE ANESTHETIST
Hitoshi Hirose 925 Chestnut St, Philadelphia, PA 19107-4216 THORACIC SURGERY
Arnold Convento 111 S 11th St, Philadelphia, PA 19107-4824 CERTIFIED REGISTERED NURSE ANESTHETIST
Neeru Rattan 925 Chestnut St, Philadelphia, PA 19107-4216 ANESTHESIOLOGY
Fred Markham 833 Chestnut St, Philadelphia, PA 19107-5102 FAMILY PRACTICE
Bharat Awsare 925 Chestnut St, Philadelphia, PA 19107-4216 PULMONARY DISEASE
Lewis Deeugenio 925 Chestnut St, Philadelphia, PA 19107-4216 INTERNAL MEDICINE
Jill Wineberg 925 Chestnut St, Philadelphia, PA 19107-4201 OCCUPATIONAL THERAPY
Christopher Jones 925 Chestnut St, Philadelphia, PA 19107-4201 HAND SURGERY
Harish Sehdev 801 Spruce St 8th Floor, Philadelphia, PA 19107-5701 OBSTETRICS/GYNECOLOGY