Provider Demographics
NPI:1952890410
Name:MITCHELL - STEWART, MALIKA AYANA (MD, MPH)
Entity type:Individual
Prefix:
First Name:MALIKA
Middle Name:AYANA
Last Name:MITCHELL - STEWART
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 FM 762 RD
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5880
Mailing Address - Country:US
Mailing Address - Phone:346-901-2320
Mailing Address - Fax:346-901-2321
Practice Address - Street 1:4050 FM 762 RD
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-5880
Practice Address - Country:US
Practice Address - Phone:346-901-2320
Practice Address - Fax:346-901-2321
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT2445207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine