Individual
DR. AZHAR ALI MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 E SAN ANTONIO ST, SUITE 430E, VICTORIA, TX 77901-6050
(361) 567-0011
(361) 576-4084
Mailing address
605 E SAN ANTONIO ST, SUITE 430E, VICTORIA, TX 77901-6050
(361) 567-0011
(361) 576-4084
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M1220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174620801
—
TX
Enumeration date
09/12/2005
Last updated
01/30/2014
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