Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17106 | NV |
N | 111NI0900X | Internist | 17106 | NV |
N | 207R00000X | Internist | MD-48948 | IA |
N | 111NI0900X | Internist | MD-48948 | IA |
N | 207R00000X | Internist | R-11397 | IA |
N | 111NI0900X | Internist | R-11397 | IA |
Y | 207RR0500X | Rheumatology | MD-48948 | IA |
NPI | 1083031207 |
---|---|
Provider Name | Samira Malik |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 09/11/2021 |