MEDICARE: AMIR S MALIK 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	207T00000X	Neurological Surgery Physician	L2442	TX
2	207T00000X	Neurological Surgery Physician	01083439A	IN

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	8B8790	OTHER	TX	BCBS
4	8DF119	OTHER	TX	BC/BS#
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801814520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR S MALIK M.D.

Provider Business Mailing Address
First Line	:	2800 KIRBY DR
Second Line	:	SUITE B-210
City	:	HOUSTON
State	:	TX
Zip	:	77098-1273
Country	:	US
Telephone Number	:	832-203-7673
Fax Number	:	832-203-7939

Provider Business Practice Location Address
First Line	:	2800 KIRBY DR
Second Line	:	SUITE B-210
City	:	HOUSTON
State	:	TX
Zip	:	77098-1273
Country	:	US
Telephone Number	:	832-203-7673
Fax Number	:	832-203-7939

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	06/09/2023

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Directions to “ AMIR S MALIK M.D.” Practice Location

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