Individual
SHAZIA A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1616 E MARYLAND AVE, PHOENIX, AZ 85016-1302
(602) 788-1521
(602) 688-5420
Mailing address
1616 E MARYLAND AVE, PHOENIX, AZ 85016-1302
(602) 788-1521
(602) 688-5420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A86679
CA
207VG0400X
Gynecology Physician
Primary
36891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A866790
—
CA
05
—
256839
—
AZ
01
—
AZ1700934593
BCBS OF AZ
AZ
01
—
Z120753
MEDICARE ID -UNSPECIFIED
AZ
Enumeration date
01/08/2007
Last updated
02/14/2014
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