MEDICARE: DR. MALIK NAZ KALIMUDDIN 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	M5268	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

General Provider Information

NPI Number	:	1386787653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALIK NAZ KALIMUDDIN M.D

Provider Business Mailing Address
First Line	:	213 MAYERLING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-6423
Country	:	US
Telephone Number	:	281-409-2958
Fax Number	:	713-467-6532

Provider Business Practice Location Address
First Line	:	1438 CAMPBELL RD STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4647
Country	:	US
Telephone Number	:	281-409-2958
Fax Number	:	812-402-1990

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	10/09/2024

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