Provider Demographics
NPI:1386787653
Name:KALIMUDDIN, MALIK NAZ (MD)
Entity type:Individual
Prefix:DR
First Name:MALIK
Middle Name:NAZ
Last Name:KALIMUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:213 MAYERLING DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6423
Mailing Address - Country:US
Mailing Address - Phone:281-409-2958
Mailing Address - Fax:713-467-6532
Practice Address - Street 1:1438 CAMPBELL RD STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4647
Practice Address - Country:US
Practice Address - Phone:281-409-2958
Practice Address - Fax:812-402-1990
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM52682084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186102301Medicaid
TX186102301Medicaid