Mallick, Shahid Q
Mallick, Shahid Q is an sole proprietor health care provider with primary practice located at 3511 Town Center Blvd S Suite #102, Sugar Land TX 77479-1285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mallick, Shahid Q can be contacted via phone (281) 491-1185.Contact Information
Primary practice address
3511 Town Center Blvd S Suite #102
Sugar Land TX 77479-1285
Phone: (281) 491-1185
Fax: (281) 491-1247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | J8042 | Texas |
Profile Details
| NPI number | 1396738415 |
|---|---|
| LBN Legal business name | Mallick, Shahid Q |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Oct 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396738415 | NPPES |
| Texas | MEDICAID | 122372903 |
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