MR. Imtiaz A Malik, PA-C

NPI #1356322762 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1356322762
Entity Type: Individual
Name: MR. Imtiaz A Malik, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 11, 2005
Last Updated: Mar 17, 2018

Practice Location

Address: 2400 UNSER BLVD SE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-4740
Phone: (505) 559-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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