Active NPI
Farzana Malik, M.D.
- Pediatrics Physician
- Pell City, AL
National Provider Identifier
1013986827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23576
- Practice address
- 2850 Dr John Haynes Dr
Pell City, AL 35125-1438 - Phone
- (205) 884-2260
- Fax
- (205) 884-2351
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15077 | MS | |
| Pediatrics Physician | 208000000X | 65722 | GA | |
| Pediatrics Physician | 208000000X | 23576 | AL | Primary |
Addresses
Primary practice location
2850 Dr John Haynes Dr
Pell City, AL 35125-1438
Mailing address
2850 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone (205) 884-2260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003123985A | Medicaid | GA | |
| 197736 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23576 | AL | MD | Pediatrics Physician |
| 65722 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purohit Pediatric Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Anniston, AL
- NPI 1790971166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1013986827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251438",
"telephone_number": "205-884-2260",
"fax_number": "205-884-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251438",
"telephone_number": "205-884-2260",
"fax_number": "205-884-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "FARZANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "15077",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "65722",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "23576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003123985A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197736",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.