MUDASSIR ILYAS MALIK (NPI# 1457553653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457553653 |
Entity Type | Individual |
Full Name | MUDASSIR ILYAS MALIK |
Credential | M.D |
Practice Address |
411 Laurel St Ste A250 Des Moines IA 50314-3029 |
Mailing Address |
Po Box 9170 Des Moines IA 50306-9170 |
Practice Telephone | 5152355000 |
Practice Fax Number | 5152886713 |
Mailing Telephone | 5156333600 |
Mailing Fax Number | 5156333838 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-06-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
37402 | IA | Allopathic & Osteopathic Physicians |
Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
MD-37402 | IA | Allopathic & Osteopathic Physicians |
Street Address |
411 LAUREL ST STE A250 |
City | DES MOINES |
State | IA |
Zip Code | 50314-3029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700868080 | Atul Chawla | Internal Medicine | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2005-11-14 |
1720624182 | Kimberly Mcfee | Physician Assistant | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2019-11-20 |
1013559178 | Maksim Blidchenko | Nurse Practitioner | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2019-10-10 |
1770059362 | Ellen Starkey | Nurse Practitioner | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2018-10-22 |
1881179737 | Stephanie Wearmouth | Physician Assistant | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2018-09-26 |
1285110403 | Kaitlyn E Creger | Physician Assistant | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2018-07-11 |
1093221624 | Deborah Jean Schutz | Nurse Practitioner | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2017-12-19 |
1992223267 | Katharine Ann Rucinski | Nurse Practitioner | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2017-09-06 |
1285156216 | Jessica Lynn Wilson | Physician Assistant | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2017-07-12 |
1053667220 | Yuichi Ishida | Surgery | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2012-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
Find all providers in zip 50314 |
Taxonomy Code | 207RA0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Advanced Heart Failure and Transplant Cardiology |
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750602041 | Akrivi Manola | Internal Medicine | 411 Laurel St Ste 1225, Des Moines, IA 50314-3017 | 2010-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518319789 | Mohammad El Baba | Internal Medicine | 200 Hawkins Dr, Dept of Internal Medecine, Iowa City, IA 52242-1009 | 2016-07-12 |
City | DES MOINES |
Zip Code | 50314 |
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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.