| Nadia Malik M.d PA | |
|
4100 Heritage Ave Ste 105 Grapevine TX 76051-5716 | |
| (682) 999-8446 | |
| Not Available |
| Full Name | Nadia Malik M.d PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Heritage Ave Ste 105, Grapevine, Texas |
| Authorized Official Name and Position | Nadia Malik (OWNER) |
| Authorized Official Contact | 8174581525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nadia Malik M.d PA 1009 High Hawk Trl Euless TX 76039-5837 Ph: (817) 458-1525 | Nadia Malik M.d PA 4100 Heritage Ave Ste 105 Grapevine TX 76051-5716 Ph: (682) 999-8446 |
| NPI Number | 1497026751 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 12/28/2019 |
| Certification Date | 12/28/2019 |
| Medicare PECOS PAC ID | 4183873649 |
|---|---|
| Medicare Enrollment ID | O20120927000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497026751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M9478 (Texas) | Primary |
| Provider Name | Nadia Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891834172 PECOS PAC ID: 2062516099 Enrollment ID: I20080501000521 |
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