Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 16947 | NV |
Y | 207V00000X | Obstetrician & Gynecologist | 53328 | AZ |
N | 207VG0400X | Gynecologist | 53328 | AZ |
N | 207VX0000X | Obstetrician | 53328 | AZ |
NPI | 1417299199 |
---|---|
Provider Name | Dr. Yusria Malik |
First Address | Kingman, AZ 86402-8500 |
Second Address | Kingman, AZ 86409-3593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 04/07/2017 |