MEDICARE: DR. NADEEM ASHRAF MALHI 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	207Q00000X	Family Medicine Physician	M1903	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1821054826	OTHER	TX	GROUP NPI

General Provider Information

NPI Number	:	1538175294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADEEM ASHRAF MALHI M.D

Provider Business Mailing Address
First Line	:	PO BOX 1279
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77522-1279
Country	:	US
Telephone Number	:	281-333-1062
Fax Number	:	281-335-4529

Provider Business Practice Location Address
First Line	:	2060 SPACE PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3600
Country	:	US
Telephone Number	:	281-333-1062
Fax Number	:	281-335-4529

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/30/2012

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