Provider Demographics
NPI:1649366261
Name:MALIK, SAJID ZAHIR (MD)
Entity type:Individual
Prefix:DR
First Name:SAJID
Middle Name:ZAHIR
Last Name:MALIK
Suffix:
Gender:M
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:PO BOX 9200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-0020
Mailing Address - Country:US
Mailing Address - Phone:936-295-7333
Mailing Address - Fax:936-295-8111
Practice Address - Street 1:2804 LAKE RD
Practice Address - Street 2:SUITE # 7
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5626
Practice Address - Country:US
Practice Address - Phone:936-295-7333
Practice Address - Fax:936-295-8111
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ 21782084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130014453OtherRAIL ROAD MEDICARE
TX036301201Medicaid
TX130014453OtherRAIL ROAD MEDICARE
TXG27993Medicare UPIN