Subodh K Mallik in Fort Stockton - Internal Medicine
Subodh K Mallik - NPI 1689628885
Subodh K Mallik is a Internal Medicine in Fort Stockton, Texas. Subodh K Mallik practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Subodh K Mallik is 1689628885. The last update date is 2013-10-09.
Subodh K Mallik's current location address is 387 W Ih 10, Fort Stockton, Texas. You can contact this provider via phone number 4323360700 and fax number 4323360704. The mailing address for Subodh K Mallik is 387 W Ih 10, Fort Stockton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Subodh K Mallik |
|---|---|
| Address | 387 W Ih 10, Fort Stockton, Texas |
| Phone Number | 4323360700 |
| Fax Number | 4323360704 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689628885 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2013-10-09 |
Provider Mailing Address Detail
| Address | 387 W Ih 10 |
|---|---|
| City | Fort Stockton |
| State | Texas (TX) |
| Post Code | 797352700 |
| Phone Number | 4323360700 |
| Fax Number | 4323360704 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | K4945 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111902608 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Subodh K Mallik by the Centers for Medicare & Medicaid Services?
The Subodh K Mallik has been issued the NPI (National Provider Identifier) 1689628885. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Subodh K Mallik?
The Subodh K Mallik is situated at 387 W Ih 10, in the city of Fort Stockton, state of TX, with the zip code 797352700.
What is Subodh K Mallik's specialized field of practice, and what is the corresponding taxonomy classification code?
The Subodh K Mallik's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Subodh K Mallik receive the assignment of its 1689628885 from the Centers for Medicare & Medicaid Services?
The Subodh K Mallik was issued its 1689628885 by the Centers for Medicare & Medicaid Services on 2006-05-20.
As of what date were the Subodh K Mallik's details last updated?
The information pertaining to the Subodh K Mallik, including its address, specialty, and other details, was most recently updated on 2013-10-09.