IJAZ A MALIK


Address: 960 N 12th St, Suite 400, Milwaukee, WI 53233
Phone: 4142197653

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 34064500 05

Office Location

Street Address 960 N 12TH ST
SUITE 400
City MILWAUKEE
State WI
Zip Code 53233

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City MILWAUKEE
Zip Code 53233

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Dataset Information

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.

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