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1184896623

NPI Code Detail

MEDICARE: NAZIA MALICK MD

MEDICARE: NAZIA MALICK MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	P0433	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1184896623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZIA MALICK MD

Provider Business Mailing Address
First Line	:	4400 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1892
Country	:	US
Telephone Number	:	469-322-7481
Fax Number	:	469-322-7807

Provider Business Practice Location Address
First Line	:	4400 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1892
Country	:	US
Telephone Number	:	469-322-7481
Fax Number	:	469-322-7807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	04/23/2013

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Directions to “ NAZIA MALICK MD” Practice Location

Language	Start Address	Practice Location

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