Malik, Ijaz A

Malik, Ijaz A is an individual health care provider with primary practice located at 960 N 12Th St Suite 400, Milwaukee WI 53233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Malik, Ijaz A can be contacted via phone (414) 219-7653.

Contact Information

Primary practice address
960 N 12Th St Suite 400 Milwaukee WI 53233
Phone: (414) 219-7653
Fax: (414) 219-7676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 32806-020 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32806 Wisconsin

Profile Details

NPI number 1104893296
LBN Legal business name Malik, Ijaz A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 24th, 2021 - about 3 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 1104893296 NPPES
Wisconsin MEDICAID 34064500

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