Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01064564A | IN |
N | 111NI0900X | Internist | 01064564A | IN |
N | 207RH0003X | Hematology & Oncology | M8807 | TX |
Y | 207RX0202X | Medical Oncology | M8807 | TX |
NPI | 1003099813 |
---|---|
Provider Name | Henna Mukhtar Malik |
First Address | Shenandoah, TX 77380-3222 |
Second Address | Houston, TX 77070-4535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2007 |
Last Update Date | 13/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
281930205 | (05) | TX |
281930206 | (05) | TX |
P01843060 | RAILROAD (01) | TX |