Provider Demographics
NPI:1023994266
Name:AMIR, MALIHA
Entity type:Individual
Prefix:
First Name:MALIHA
Middle Name:
Last Name:AMIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 WINDING BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:IN
Mailing Address - Zip Code:46064-5513
Mailing Address - Country:US
Mailing Address - Phone:317-610-7277
Mailing Address - Fax:
Practice Address - Street 1:12354 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5807
Practice Address - Country:US
Practice Address - Phone:317-503-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician