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Organization
IMTIAZ A. MALIK, M.D. INC.
Active
Organization
IMTIAZ A. MALIK, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMTIAZ A MALIK M.D. (CEO)
(909) 223-2075
Entity
Organization
Contact information
Practice address
731 E YOSEMITE AVE, SUITE B, PMB# 325, MERCED, CA 95340-8039
(209) 388-1600
(209) 388-1610
Mailing address
3303 M ST, MERCED, CA 95348-2714
(209) 388-1600
(209) 388-1610
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A39816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A398160
—
CA
Enumeration date
08/12/2011
Last updated
10/24/2013
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