Provider Demographics
NPI:1780007211
Name:MALIK, SHAHZAD HAMID (PA)
Entity Type:Individual
Prefix:MR
First Name:SHAHZAD
Middle Name:HAMID
Last Name:MALIK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4987 W UNIVERSITY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5074
Mailing Address - Country:US
Mailing Address - Phone:703-598-9875
Mailing Address - Fax:855-583-0626
Practice Address - Street 1:4987 W UNIVERSITY DR STE 150
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5074
Practice Address - Country:US
Practice Address - Phone:214-548-5033
Practice Address - Fax:855-583-0626
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15156363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant