Individual
MALIK NASIR BAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A35393
CA
208000000X
Pediatrics Physician
A35393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114923307
—
CA
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
PTAN FOR ALL OFFICE LOCATIONS: BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
06/22/2005
Last updated
04/25/2016
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