DR. MALIK YA GHANNAM MD NPI 1669995528

NPI Information

  • NPI: 1669995528
  • Provider Name: DR. MALIK YA GHANNAM, MD
  • Classification: Psychiatry & Neurology - 2084V0102X
  • Specialization: Vascular Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 6TH AVE STE A100
    DES MOINES, IA
    ZIP 50314
  • Phone: (515) 358-0011

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NPI Details

DR. Malik Ya Ghannam, MD is a vascular neurology psychiatry neurology in Des Moines, IA with 14 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Malik Ya Ghannam, MD NPI is 1669995528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 6TH AVE STE A100
DES MOINES, IA
ZIP 50314-610
Phone: (515) 358-0011
Fax: (515) 358-0099

The NPI 1669995528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 9/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology28818MINNESOTANo
22084V0102XPsychiatry & NeurologyVascular Neurology13474WISCONSINNo
32084V0102XPsychiatry & NeurologyVascular NeurologyMD-48454IOWAYes
42084N0400XPsychiatry & NeurologyNeurologyMD-48454IOWANo
52084E0001XPsychiatry & NeurologyEpilepsyMD-48454IOWANo
62084N0600XPsychiatry & NeurologyClinical NeurophysiologyMD-48454IOWANo
72084A2900XPsychiatry & NeurologyNeurocritical CareMD-48454IOWANo
82084N0400XPsychiatry & NeurologyNeurology2025-00068NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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