Provider Demographics
NPI:1902926512
Name:MALIK NEUROLOGICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:MALIK NEUROLOGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RABIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-792-1010
Mailing Address - Street 1:556 RUSH CREEK PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-9609
Mailing Address - Country:US
Mailing Address - Phone:816-792-1010
Mailing Address - Fax:816-792-1710
Practice Address - Street 1:556 RUSH CREEK PKWY
Practice Address - Street 2:A
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-9609
Practice Address - Country:US
Practice Address - Phone:816-792-1010
Practice Address - Fax:816-792-1710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSW070000Medicare PIN