Provider Demographics
NPI:1992866909
Name:MALIK, SAIRAH IHSAN (OD)
Entity Type:Individual
Prefix:MISS
First Name:SAIRAH
Middle Name:IHSAN
Last Name:MALIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2706
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2706
Mailing Address - Country:US
Mailing Address - Phone:956-661-9000
Mailing Address - Fax:956-686-7833
Practice Address - Street 1:16103 LEXINGTON BLVD
Practice Address - Street 2:STE I
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2385
Practice Address - Country:US
Practice Address - Phone:281-367-2010
Practice Address - Fax:281-296-2008
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6717T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management