Gagan C Mallik Md Inc

LBN: Gagan C Mallik Md Inc
Gagan C Mallik Md Inc is an health care organization with primary practice located at 5162 Broadway Ave , Cleveland OH 44127-1571. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Gagan C Mallik Md Inc can be contacted via phone (216) 406-7268, or through Mallik, Gagan C via phone (216) 406-7268.

Contact Information

Primary practice address
5162 Broadway Ave Cleveland OH 44127-1571
Phone: (216) 406-7268
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mallik, Gagan C Doctor of Medicine (MD)
Phone: (216) 406-7268

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 41404 Tennessee

Profile Details

NPI number 1770687873
LBN Legal business name Gagan C Mallik Md Inc
DBA Doing business as
Authorized official Mallik, Gagan C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Mar 4th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770687873 NPPES
Tennessee MEDICAID 3735527

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