Malek, Gholamreza
Malek, Gholamreza is an individual health care provider with primary practice located at 7026 Old Katy Rd Ste 276 , Houston TX 77024-2187. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Malek, Gholamreza can be contacted via phone (713) 621-7436.Contact Information
Primary practice address
7026 Old Katy Rd Ste 276
Houston TX 77024-2187
Phone: (713) 621-7436
Fax: (713) 963-9051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A81941 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | K9841 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | K9841 | Texas |
Profile Details
| NPI number | 1063498632 |
|---|---|
| LBN Legal business name | Malek, Gholamreza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jan 25th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063498632 | NPPES |
| Texas | Other | 8G6010 | BCBS OF TX # |
| Texas | Other | 02-0622723 | BCBS OF TX # |
| Texas | MEDICAID | 153145101 | BCBS OF TX # |
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