Individual
GHOLAMREZA MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
(713) 963-9051
Mailing address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
(713) 963-9051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A81941
CA
2085R0202X
Diagnostic Radiology Physician
Primary
K9841
TX
2085R0204X
Vascular & Interventional Radiology Physician
K9841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0622723
TAX ID #
—
05
—
153145101
—
TX
01
—
8G6010
BCBS OF TX #
TX
Enumeration date
12/15/2005
Last updated
01/25/2023
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