SHEHRYAR AHMED MALIK (NPI# 1285154419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285154419 |
Entity Type | Individual |
Full Name | SHEHRYAR AHMED MALIK |
Credential | DO |
Practice Address |
1280 W Us Highway 40 Odessa MO 64076-9612 |
Practice Telephone | 8166335774 |
Mailing Telephone | 8166335774 |
Enumeration Date | 2017-06-20 |
Last Update Date | 2018-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 2018030876 | MO | Allopathic & Osteopathic Physicians |
Street Address |
1280 W US HIGHWAY 40 |
City | ODESSA |
State | MO |
Zip Code | 64076-9612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831154210 | Ahmad W Aslami | Family Medicine | 1280 W Us Highway 40, Odessa, MO 64076-9612 | 2006-04-19 |
1831412147 | Lynda G Carlyle | Nurse Practitioner | 1280 W Us Highway 40, Odessa, MO 64076-9612 | 2010-03-02 |
1003872185 | Midwest Division-lrhc, LLC | Clinic/Center | 1280 W Us Highway 40, Odessa, MO 64076-9612 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
Find all providers in zip 64076 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043411531 | Suresh N. Gadasalli,m.d.,p.a. | General Practice | 2651 Kermit Hwy, Odessa, TX 79763-2542 | 2007-05-30 |
1609962380 | Richard P Bartlett | General Practice | 1330 E 8th St, Suite 310, Odessa, TX 79761-4702 | 2006-10-04 |
1417941873 | Weldon Fred Butler | General Practice | 700 Dotsy Ave, Odessa, TX 79763-4238 | 2005-08-31 |
1699941765 | Weldon F Butler Md Pa | General Practice | 700 Dotsy Ave, Odessa, TX 79763-4238 | 2008-05-07 |
1912028010 | Suresh N. Gadasalli,m.d.,p.a. | General Practice | 1940 E 42nd St, Odessa, TX 79762-5840 | 2007-04-03 |
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1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
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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.