Individual
DR. AYAZ H MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 WALTER REED BLVD, SUITE 303, GARLAND, TX 75042
(972) 272-0282
(972) 276-6492
Mailing address
777 WALTER REED BLVD, SUITE 303, GARLAND, TX 75042
(972) 272-0282
(972) 276-6492
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036142106
IL
207T00000X
Neurological Surgery Physician
G4166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036166901
—
TX
01
—
214881
MEDICARE GROUP PTAN
IL
Enumeration date
08/20/2006
Last updated
01/27/2017
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