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: July 19, 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
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

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.

Occupational Therapist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Speech-Language Pathologist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Pharmacy (Clinic Pharmacy)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Ambulance (Air Transport)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Obstetrics & Gynecology (Obstetrics)
2400 UNSER BLVD SE, SUITE 18200
RIO RANCHO, NM 87124
Nurse Practitioner (Adult Health)
2400 UNSER BLVD SE, PHYSICIANS OFFICE BLDG #08213
RIO RANCHO, NM 87124
Pediatrics (Neonatal-Perinatal Medicine)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Nurse Practitioner
2400 UNSER BLVD SE
RIO RANCHO, NM 87124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356322762, enumerated as an "individual" on November 11, 2005.

The provider is located at 2400 UNSER BLVD SE RIO RANCHO, NM 87124 and the phone number is (505) 559-6100.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.