Organization
META NEUROLOGY AND SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZIZ MALLIK (PARTNER)
(623) 328-7087
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 328-7087
(623) 218-1337
Mailing address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 328-7087
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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