Organization
NEUROGENIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ MALLIK (MANAGING PARTNER)
(623) 328-7087
Entity
Organization
Contact information
Practice address
3683 E REDFIELD CT, GILBERT, AZ 85234-3107
(623) 328-7087
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
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/21/2025
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