Individual
AFSHIN MALAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13995 W STATLER BLVD, BANNER SURPRISE HEALTH CENTER, SURPRISE, AZ 85374-5501
(623) 478-3100
Mailing address
13995 W STATLER BLVD, BANNER SURPRISE HEALTH CENTER, SURPRISE, AZ 85374-5501
(623) 478-3100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37834
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689869182
—
IA
Enumeration date
09/09/2007
Last updated
11/07/2016
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