GAGAN C MALLIK MD INC
NPI 1770687873
Otolaryngology in Cleveland, OH

Q: What is Gagan C Mallik MD Inc's NPI number?

The NPI number for Gagan C Mallik MD Inc is 1770687873. It was assigned to this organization in the NPPES registry on September 11, 2006.

Q: What is Gagan C Mallik MD Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since September 11, 2006

5162 BROADWAY AVE, CLEVELAND, OH 44127(216) 406-7268 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Gagan C Mallik Md Inc NPPES

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

GAGAN C MALLIK MD INC (NPI 1770687873) is a healthcare organization registered as an otolaryngology in Cleveland, Ohio and active in the NPI registry since September 2006. The organization lists Gagan C Mallik, Owner, as its authorized official.

NPPES Registry Identity

NPI1770687873

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameGAGAN C MALLIK MD INC

Location Address5162 BROADWAY AVECleveland, OH 44127-1571

Mailing Address5162 Broadway AveCleveland, OH 44127-1571 · (216) 406-7268

Phone(216) 406-7268

Organization SubpartNo

Authorized OfficialGagan C MallikOwner · (216) 406-7268

Enumeration DateSeptember 11, 2006

Last NPPES UpdateMarch 4, 2013

✔ NPI 1770687873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TN · 41404

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5162 BROADWAY AVE, Cleveland, OH 44127

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Other Identifiers 3

Medicaid3735527TN

Medicare UPINA79888

Medicare ID-Type Unspecified3735527TN · Tn Medicare Grp #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

JULIETTE PHILPOT

Case Manager/Care Coordinator