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NPI Code Detail

MEDICARE: DR. SHAZLI NOORALI MALIK M.D.

MEDICARE: DR. SHAZLI NOORALI MALIK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianK9605TX
2207ZC0500XCytopathology PhysicianK9605TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104814250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAZLI NOORALI MALIK M.D.
Provider Business Mailing Address
First Line : 11 BENCHWOOD CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78248-2312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 N SANTA ROSA AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3108
Country : US
Telephone Number : 210-704-3144
Fax Number : 210-704-3180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 03/18/2026

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