Krishna Mallik in Scottsdale - Sports Medicine

Krishna Mallik - NPI 1922095272

Krishna Mallik is a Sports Medicine in Scottsdale, Arizona. Krishna Mallik practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Krishna Mallik is 1922095272. The last update date is 2018-11-18.

Krishna Mallik's current location address is 7181 E Camelback Rd, Scottsdale, Arizona. You can contact this provider via phone number 8558048800 and fax number 4809072994. The mailing address for Krishna Mallik is 7181 E Camelback Rd, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Krishna Mallik
Address 7181 E Camelback Rd, Scottsdale, Arizona
Phone Number 8558048800
Fax Number 4809072994
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1922095272
Provider Enumeration Date 2005-10-03
Last Updated Date 2018-11-18

Provider Mailing Address Detail

Address 7181 E Camelback Rd
City Scottsdale
State Arizona (AZ)
Post Code 852511279
Phone Number 8558048800
Fax Number 4809072994

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 37346
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z152366 AZ MEDICARE PTAN

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FAQs about Krishna Mallik

What is the unique identifier code issued to Krishna Mallik by the Centers for Medicare & Medicaid Services?

The Krishna Mallik has been assigned the NPI (National Provider Identifier) 1922095272. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Krishna Mallik?

The Krishna Mallik is physically situated at 7181 E Camelback Rd, in the city of Scottsdale, state of AZ, with the postal code 852511279.

What is the Krishna Mallik's specialty and taxonomy code?

The Krishna Mallik's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1922095272 to Krishna Mallik?

The Centers for Medicare & Medicaid Services assigned the 1922095272 to Krishna Mallik on 2005-10-03.

As of what date were the details pertaining to Krishna Mallik last refreshed?

The information related to the Krishna Mallik, including its address, specialty, and other relevant details, was last updated on 2018-11-18.

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