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Individual

JAVED MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3015 HIGHWAY 95, SUITE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038
Mailing address
3015 HIGHWAY 95 STE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23472
AZ
207R00000X
Internal Medicine Physician
Primary
23472
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
323171
AZ
01
6976108
HEALTHNET
AZ
01
AZ0867020
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/13/2005
Last updated
09/30/2024
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