Mohammad Mallick M.D.

LBN: Mohammad Mallick M.D.
Mohammad Mallick M.D. is an health care organization with primary practice located at 1501 Airport Rd , Waukesha WI 53188-2461. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Mohammad Mallick M.D. can be contacted via phone (262) 548-7950, or through Mallick, Mohammad S via phone (414) 226-4046.

Contact Information

Primary practice address
1501 Airport Rd Waukesha WI 53188-2461
Phone: (262) 548-7950
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mallick, Mohammad S Doctor of Medicine (MD)
Phone: (414) 226-4046

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27719 Wisconsin

Profile Details

NPI number 1821003377
LBN Legal business name Mohammad Mallick M.D.
DBA Doing business as
Authorized official Mallick, Mohammad S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 1st, 2011 - about 14 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 1821003377 NPPES
Wisconsin MEDICAID 31466300

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