Abdulmalik, Ameen A

Abdulmalik, Ameen A is an individual health care provider with primary practice located at 15150 Fort St , Southgate MI 48195-1302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Abdulmalik, Ameen A can be contacted via phone (734) 282-4800.

Contact Information

Primary practice address
15150 Fort St Southgate MI 48195-1302
Phone: (734) 282-4800
Fax: (734) 282-9302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301078156 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301078156 Michigan

Profile Details

NPI number 1578767950
LBN Legal business name Abdulmalik, Ameen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Oct 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578767950 NPPES
Michigan Other 11783199 CAQH
Michigan Other 4301078156 CAQH
Michigan Other AA078156 CAQH
Michigan Other 1578767950 CAQH
Michigan MEDICAID 1578767950 CAQH

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