Organization
XPRESS NEURODIAGNOSTIC LLC
Active
Organization
XPRESS NEURODIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ MALLIK (MEMBER)
(623) 238-3889
Entity
Organization
Contact information
Practice address
3719 E LOUISE DR, PHOENIX, AZ 85050-8314
(623) 328-7087
Mailing address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 238-3889
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/13/2025
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