IMTIAZ A MALIK

RIO RANCHO, NM
NPI1356322762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2002-0028)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NM  PA2002-0028)
Enumeration Date2005-11-11
Last Update Date2018-03-17
Business Address
Mr. IMTIAZ A MALIK PA-C
2400 UNSER BLVD SE
RIO RANCHO, NM 87124-4740
Phone number: 505-559-6100
Mailing Address
Mr. IMTIAZ A MALIK PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770