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NPI Code Detail

MEDICARE: DR. MALIK ALQAWASMI MD

MEDICARE: DR. MALIK ALQAWASMI 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
1390200000XStudent in an Organized Health Care Education/Training ProgramNM
2390200000XStudent in an Organized Health Care Education/Training ProgramMD2026-0087NM
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD20260087OTHERNMLICENSE

General Provider Information

NPI Number : 1376250001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALIK ALQAWASMI MD
Provider Business Mailing Address
First Line : REGINALD HEBER FITZ HALL ROOM 107
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87131-0001
Country : US
Telephone Number : 505-272-3414
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-3414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 02/15/2026

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