Malik, Iftikhar A

Malik, Iftikhar A is an individual health care provider with primary practice located at 2500 E Capitol Dr , Appleton WI 54911-8735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Malik, Iftikhar A can be contacted via phone (920) 358-1223.

Contact Information

Primary practice address
2500 E Capitol Dr Appleton WI 54911-8735
Phone: (920) 358-1223
Fax: (920) 358-1224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48034 Wisconsin
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 48034 Wisconsin

Profile Details

NPI number 1780616136
LBN Legal business name Malik, Iftikhar A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 21st, 2010 - about 16 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 1780616136 NPPES
Wisconsin MEDICAID 34636400
Wisconsin Other P00234590

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