Individual
AZHAR A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-0030
(813) 971-6473
Mailing address
511 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 681-8212
(813) 654-0478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME82487
FL
207RN0300X
Nephrology Physician
Primary
ME82487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264136400
—
FL
Enumeration date
06/24/2005
Last updated
07/25/2019
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