SHAHLA MALLICK MEDICAL PC
NPI 1245536440
Clinic/Center - Primary Care in Brooklyn, NY

Active since February 04, 2011
517 54TH ST, BROOKLYN, NY 11220(718) 833-7860(718) 833-7861 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shahla Mallick Medical Pc NPPES

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

SHAHLA MALLICK MEDICAL PC (NPI 1245536440) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since February 2011. The organization lists Shahla Mallick, Doctor, as its authorized official.

NPPES Registry Identity

NPI1245536440
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHAHLA MALLICK MEDICAL PC
Location Address517 54TH STBrooklyn, NY 11220-3114
Mailing Address208 Parkway DrRoslyn Heights, NY 11577-2737 · (718) 833-7860 · Fax (718) 833-7861
Fax(718) 833-7861
Organization SubpartNo
Authorized OfficialShahla MallickDoctor · (718) 833-7860
Enumeration DateFebruary 4, 2011
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 4, 2024
NPI 1245536440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 217612
517 54TH ST, Brooklyn, NY 11220

Other Identifiers 1

Medicaid02106307NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
517 54TH ST
BROOKLYN, NY 11220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahla Mallick Medical PC's NPI number?

The NPI number for Shahla Mallick Medical PC is 1245536440. It was assigned to this organization in the NPPES registry on February 4, 2011.

Where is Shahla Mallick Medical PC located?

Shahla Mallick Medical PC is located at 517 54th St, Brooklyn, NY 11220. The listed phone number is (718) 833-7860.

What is Shahla Mallick Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shahla Mallick Medical PC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.