Healthcare Provider Details

I. General information

NPI: 1346208048
Provider Name (Legal Business Name): MALIKA ARYANPURE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MALIKA ARYANPURE M.D.

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 ROSE BLVD
NORTHPORT AL
35475-5950
US

IV. Provider business mailing address

4815 ROSE BLVD
NORTHPORT AL
35475-5950
US

V. Phone/Fax

Practice location:
  • Phone: 205-722-0650
  • Fax:
Mailing address:
  • Phone: 205-722-0650
  • Fax: 205-345-5178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAL26937
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberAL26937
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberAL26937
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: