Provider Demographics
NPI:1801814520
Name:MALIK, AMIR S (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:S
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 KIRBY DR
Mailing Address - Street 2:SUITE B-210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1273
Mailing Address - Country:US
Mailing Address - Phone:832-203-7673
Mailing Address - Fax:832-203-7939
Practice Address - Street 1:2800 KIRBY DR
Practice Address - Street 2:SUITE B-210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1273
Practice Address - Country:US
Practice Address - Phone:832-203-7673
Practice Address - Fax:832-203-7939
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL2442207T00000X
IN01083439A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147559201Medicaid
TX147559206Medicaid
TX8B8790OtherBCBS
TX8DF119OtherBC/BS#
TX147559203Medicaid
TXTXB136938Medicare PIN
TX8B8790OtherBCBS
TX147559206Medicaid
TXTXB154074Medicare PIN
TX140007807Medicare PIN