Organization Name: | PARVEEN AKHTER MALIK MD PC |
NPI Number: | 1063691640 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PARVEEN AKHTER MALIK (PRESIDENT) |
Mailing Address: | 808 N Euclid Ave Bay City |
State: | MI US |
Postal Code: | 487062474 |
Phone Number: | 9896863760 |
Fax Number: | 9896865615 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 4301065126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |