Provider Demographics
NPI:1447284864
Name:MALIK, MUHAMMAD FAYAZ (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:FAYAZ
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MEDICAL CENTER PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3237
Mailing Address - Country:US
Mailing Address - Phone:615-867-5028
Mailing Address - Fax:615-867-6650
Practice Address - Street 1:1840 MEDICAL CENTER PKWY STE 201
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3237
Practice Address - Country:US
Practice Address - Phone:615-867-5028
Practice Address - Fax:615-867-6650
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53353207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I065570OtherMEDICARE
TNQ017663Medicaid
ILL63853Medicare ID - Type Unspecified
IL036097542Medicaid