Malik, Azhar A

Malik, Azhar A is an individual health care provider with primary practice located at 12662 Telecom Dr , Temple Terrace FL 33637-0935. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Malik, Azhar A can be contacted via phone (813) 910-0030.

Contact Information

Primary practice address
12662 Telecom Dr Temple Terrace FL 33637-0935
Phone: (813) 910-0030
Fax: (813) 971-6473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME82487 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME82487 Florida

Profile Details

NPI number 1609872670
LBN Legal business name Malik, Azhar A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 25th, 2019 - about 6 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 1609872670 NPPES
Florida MEDICAID 264136400

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