1. Home
  2. Directory
  3. New Mexico
  4. Rio Rancho
  5. Physician Assistant
  6. NPI Profile

MR. IMTIAZ A MALIK PA-C
NPI 1356322762
Physician Assistant in Rio Rancho, NM

Active since November 11, 2005
2400 UNSER BLVD SE, RIO RANCHO, NM 87124(505) 559-6100(505) 559-6101 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jan 8, 2018 (2 updates tracked since 2018).

About Mr. Imtiaz A Malik Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IMTIAZ A MALIK PA-C (NPI 1356322762) is an individual physician assistant in Rio Rancho, New Mexico, licensed in New Mexico (PA2002-0028) and active in the NPI registry since November 2005. He maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1356322762
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. IMTIAZ A MALIKCredential: PA-C
Location Address2400 UNSER BLVD SERio Rancho, NM 87124-4740
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 559-6100
Fax(505) 559-6101
Sole ProprietorNo
Enumeration DateNovember 11, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1356322762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2002-0028
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2002-0028 (NM)
2400 UNSER BLVD SE, Rio Rancho, NM 87124
Open in Google Maps ↗

Secondary Practice Location 1

Location 1715 Martin Luther King Ave NE, Suite 102Albuquerque, NM 87102-3661 · Phone (505) 925-7469 · Fax (505) 925-7503

Other Identifiers 1

Medicaid32486006NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN ANN WILSON MSOTRL
Occupational Therapist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 401-4235
SEUNGHWAN BYUN MD
Hospitalist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-7878
DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR M.D.
Internal Medicine
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-1790
SYDNEY ROSE GEORGE PA-C
Physician Assistant
2400 UNSER BLVD SE, STE 18200
RIO RANCHO, NM 87124
Sandoval County (505) 563-6565
RAQUEL VALVERDE CPSW
Peer Specialist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 630-5769
DR. DOMINIC POMO DNAP, CRNA
Nurse Anesthetist, Certified Registered
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-7878
ERIN MARIE GIESE RN
Registered Nurse (Medical-Surgical)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-2549
DR. SRI RAMA KRISHNA BENERJI PARUCHURI M.D
Internal Medicine (Pulmonary Disease)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 253-7878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imtiaz Malik's NPI number?

The NPI number for Imtiaz Malik is 1356322762. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Imtiaz Malik located?

Imtiaz Malik practices at 2400 Unser Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 559-6100.

What is Imtiaz Malik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Imtiaz Malik was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.