DR. ISMAIL HAMEED MALLICK M.D., PH.D - NPI 1104191485 - Student in an Organized Health Care Education/Training Program in Beachwood, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Ismail Hameed Mallick M.d., Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ISMAIL HAMEED MALLICK M.D., PH.D (NPI 1104191485) is an individual student in an organized health care education/training program in Beachwood, Ohio and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1104191485

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ISMAIL HAMEED MALLICKCredential: M.D., PH.D

Location Address26300 SEVILLE DR, APT 201Beachwood, OH 44122-7594

Mailing Address26300 Seville Dr, Apt 201Beachwood, OH 44122-7594 · (216) 854-3447

Phone(216) 854-3447

Sole ProprietorNo

Enumeration DateMarch 20, 2012

✔ NPI 1104191485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

26300 SEVILLE DR, Beachwood, OH 44122

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Frequently Asked Questions

What is Ismail Mallick's NPI number?

The NPI number assigned to this healthcare provider is 1104191485, enumerated as an "individual" on March 20, 2012.

Where is the provider located?

The provider is located at 26300 SEVILLE DR APT 201 BEACHWOOD, OH 44122 and the phone number is (216) 854-3447.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.