IJAZ A MALIK (NPI# 1104893296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104893296 |
Entity Type | Individual |
Full Name | IJAZ A MALIK |
Credential | MD |
Practice Address |
960 N 12th St Suite 400 Milwaukee WI 53233 |
Mailing Address |
Po Box 2040 Milwaukee WI 53201-2040 |
Practice Telephone | 4142197653 |
Practice Fax Number | 4142197676 |
Mailing Telephone | 4142197653 |
Mailing Fax Number | 4142197676 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2012-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32806 | WI | Allopathic & Osteopathic Physicians |
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
32806-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34064500 | 05 |
Street Address |
960 N 12TH ST SUITE 400 |
City | MILWAUKEE |
State | WI |
Zip Code | 53233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871576256 | Kristin Ann Skoraczewski | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2005-11-21 |
1518269927 | Jessica Tjaden | Nurse Practitioner | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2010-11-18 |
1306939079 | Melanie Castle | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-10-02 |
1992743397 | Milwaukee Neurological Institute, Sc | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-06-04 |
1720026339 | Kelley E Farnsworth | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-06-04 |
1124071402 | Nicholas Knoernschild | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-05-18 |
1649221516 | Joaquin Solis | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-05-15 |
1992774467 | Abraham-rami Gal | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-16 |
1942277587 | Heart Care Associates LLC | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-02 |
1821065467 | Yoseph Shalev | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
Find all providers in zip 53233 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
1184811440 | Barry K Gimbel Md Sc | Internal Medicine | 5150 N Port Wash Su249, Milwaukee, WI 53217-5474 | 2007-10-01 |
1306038187 | Janet C-i Tsang | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 777, Milwaukee, WI 53215 | 2007-08-15 |
1184829475 | Jayant Khitha | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 840, Milwaukee, WI 53215-3678 | 2007-06-18 |
1699840678 | Alan Daniel | Internal Medicine | 1443 E Goodrich Ln, Milwaukee, WI 53217-2950 | 2006-11-22 |
1255423026 | Gerard Thomas Parent | Internal Medicine | 2901 West Kinnickinnic River Parkway, Suite 200, Milwaukee, WI 53215 | 2006-09-29 |
1982625885 | Milwaukee Cardiac Care LLC | Internal Medicine | 5434 W Capitol Dr Ste 1, #1, Milwaukee, WI 53216-2298 | 2006-07-23 |
1265487201 | James L Schulgit | Internal Medicine | 2901 W Kinnickinnick River Parkway, 105, Milwaukee, WI 53215 | 2006-05-24 |
1114992120 | Suhas K Shelgikar | Internal Medicine | 3635 W Oklahoma Ave, Milwaukee, WI 53215-4119 | 2006-02-22 |
Find all providers in MILWAUKEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.