Provider Demographics
NPI:1346208048
Name:ARYANPURE, MALIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALIKA
Middle Name:
Last Name:ARYANPURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MALIKA
Other - Middle Name:
Other - Last Name:ARYANPURE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4815 ROSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-5950
Mailing Address - Country:US
Mailing Address - Phone:205-722-0650
Mailing Address - Fax:205-345-5178
Practice Address - Street 1:4815 ROSE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475
Practice Address - Country:US
Practice Address - Phone:205-722-0650
Practice Address - Fax:205-345-5178
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL26937207Q00000X, 261QU0200X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI46591Medicare UPIN