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NPI Code Detail

MEDICARE: DR. TAMER AYAD MALIK MD

MEDICARE: DR. TAMER AYAD MALIK 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
1208600000XSurgery Physician246621NY
2208600000XSurgery PhysicianMD-46845IA
3208600000XSurgery Physician35-097903OH

Other Identifiers

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

General Provider Information

NPI Number : 1508052408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMER AYAD MALIK MD
Provider Business Mailing Address
First Line : 7147 VISTA DR STE 150
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-9317
Country : US
Telephone Number : 515-875-9925
Fax Number : 515-875-9923
Provider Business Practice Location Address
First Line : 1212 PLEASANT ST STE 211
Second Line :
City : DES MOINES
State : IA
Zip : 50309-1411
Country : US
Telephone Number : 515-283-1541
Fax Number : 515-283-0473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 08/17/2021

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Directions to “ DR. TAMER AYAD MALIK MD” Practice Location

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