Provider Demographics
NPI:1548247067
Name:MILLIK, FILIZ (MD)
Entity type:Individual
Prefix:
First Name:FILIZ
Middle Name:
Last Name:MILLIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10049 KITSAP MALL BLVD NW
Mailing Address - Street 2:STE# 265
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8903
Mailing Address - Country:US
Mailing Address - Phone:360-698-2500
Mailing Address - Fax:360-698-7788
Practice Address - Street 1:10049 KITSAP MALL BLVD NW
Practice Address - Street 2:STE# 265
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8903
Practice Address - Country:US
Practice Address - Phone:360-698-2500
Practice Address - Fax:360-698-7788
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041501207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1123975Medicaid
WA8866037OtherMEDICARE ID
WA1123975Medicaid