Individual
DR. MALIK YA GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
MD-48454
IA
2084E0001X
Epilepsy Physician
MD-48454
IA
2084N0400X
Neurology Physician
2025-00068
NC
2084N0400X
Neurology Physician
28818
MN
2084N0400X
Neurology Physician
MD-48454
IA
2084N0600X
Clinical Neurophysiology Physician
MD-48454
IA
2084V0102X
Vascular Neurology Physician
13474
WI
2084V0102X
Vascular Neurology Physician
Primary
MD-48454
IA
Other
Enumeration date
07/24/2017
Last updated
09/17/2025
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