Individual
PERVAIZ A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0956
Mailing address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0956
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
17259
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002794
—
AL
Enumeration date
06/30/2005
Last updated
04/03/2012
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