Malik, Ayaz Tariq
Malik, Ayaz Tariq is an individual health care provider with primary practice located at 250 Green St Ste 212, Gardner MA 01440-1396. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Malik, Ayaz Tariq can be contacted via phone (978) 669-5522.Contact Information
Primary practice address
250 Green St Ste 212
Gardner MA 01440-1396
Phone: (978) 669-5522
Fax: (978) 632-0516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 33591 | Massachusetts |
Profile Details
| NPI number | 1154320984 |
|---|---|
| LBN Legal business name | Malik, Ayaz Tariq |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Aug 25th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154320984 | NPPES |
| Massachusetts | MEDICAID | 0154695 |
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