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Contact Information

MALIK Y GHANNAM, MD
1111 6TH AVE STE A100
DES MOINES, IA50314-2610
 Phone: 515-358-0011
 Fax: 515-358-0099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Neurology

2084V0102X 86 Physician/Neuropsychiatry
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Epilepsy

2084E0001X 86 Physician/Neuropsychiatry
 

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MALIK Y GHANNAM · (Male)

NPI # 1669995528
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2017
Last updated 09/17/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-48454
  • MN License # 28818
  • NC License # 2025-00068
  • WI License # 13474
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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