Physician Compare National (NPI:1063651156)

HEALTHCARE PROVIDER: AMYN MALIK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063651156
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335285717
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131218001408
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MALIK
	Individual professional last name
Provider First Name	AMYN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4100 HERITAGE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	GRAPEVINE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760515716
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4692510589
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450563
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450639
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450087
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY NORTH HILLS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y