Provider Demographics
NPI:1497379093
Name:COMPENDIOUS MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:COMPENDIOUS MEDICAL CARE PLLC
Other - Org Name:COMPENDIOUS MEDICAL CARE PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVAID
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-468-4888
Mailing Address - Street 1:725 ORCHARD PARK RD STE C
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3352
Mailing Address - Country:US
Mailing Address - Phone:716-468-4888
Mailing Address - Fax:716-271-5530
Practice Address - Street 1:725 ORCHARD PARK RD STE C
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3352
Practice Address - Country:US
Practice Address - Phone:716-468-4888
Practice Address - Fax:716-271-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-31
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty