=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689658833
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AAMIR S MALIK M.D. P.A.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2005
-----------------------------------------------------
Last Update Date | 11/27/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 730 N MAIN STE 321
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78205-1152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-228-9481
-----------------------------------------------------
Fax | 210-228-9485
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 730 N MAIN AVE STE 321
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78205-1115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-228-9481
-----------------------------------------------------
Fax | 210-228-9485
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | K3319
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------