Baz, Malik Nasir

Baz, Malik Nasir is an sole proprietor health care provider with primary practice located at 7471 N Fresno St , Fresno CA 93720-2457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Baz, Malik Nasir can be contacted via phone (559) 436-4500.

Contact Information

Primary practice address
7471 N Fresno St Fresno CA 93720-2457
Phone: (559) 436-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A35393 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A35393 California

Profile Details

NPI number 1114923307
LBN Legal business name Baz, Malik Nasir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Apr 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923307 NPPES
California Other ZZZ21572Z PTAN FOR ALL OFFICE LOCATIONS: BAZ ALLERGY, ASTHMA & SINUS CENTER
California MEDICAID GR0043790 PTAN FOR ALL OFFICE LOCATIONS: BAZ ALLERGY, ASTHMA & SINUS CENTER
California MEDICAID 1114923307 PTAN FOR ALL OFFICE LOCATIONS: BAZ ALLERGY, ASTHMA & SINUS CENTER

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