Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MALIK YA GHANNAM, MD
ActiveDR. MALIK YA GHANNAM, MD is a Psychoanalysis healthcare provider located in DES MOINES, Iowa. NPI 1669995528 is currently active in the NPPES registry. Verify at CMS.
Psychoanalysis · DES MOINES, IA
Registration Details
- NPI Number
- 1669995528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2017 (9.0333038566498 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
28818 (MN)13474 (WI)MD-48454 (IA)MD-48454 (IA)MD-48454 (IA)
Practice Information
- Address
-
1111 6TH AVE STE A100DES MOINES, IA, 503142610Browse IA providers · Browse ZIP 50314
- Phone
- 5153580011
- Fax
- 5153580099
- Primary Specialty
-
Psychoanalysis
2084V0102X
- Additional Specialty
- Psychoanalysis
- Additional Specialty
- Psychoanalysis
- Additional Specialty
- Neurology
- Additional Specialty
- 2084E0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.